| Tristate Hospitalist | |
|
723 Buttermilk Pike Crescent Springs KY 41017-1304 | |
| (859) 575-8346 | |
| Not Available |
| Full Name | Tristate Hospitalist |
|---|---|
| Speciality | Hospitalist |
| Location | 723 Buttermilk Pike, Crescent Springs, Kentucky |
| Authorized Official Name and Position | Kheder Kutmah (VICE PRESIDENT) |
| Authorized Official Contact | 8599924660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Hospitalist 723 Buttermilk Pike Crescent Springs KY 41017-1304 Ph: (859) 575-8346 | Tristate Hospitalist 723 Buttermilk Pike Crescent Springs KY 41017-1304 Ph: (859) 575-8346 |
| NPI Number | 1427301282 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427301282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35543 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 35543 (Kentucky) | Primary |
Alliance Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Buttermilk Pike, Crescent Springs, KY 41017 Phone: 859-442-1560 Fax: 859-442-1563 |