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Physicians Internal Medicine

Provider NPI: 1861983199

Organization Information:
Organization is not Subpart
Authorized Official:  ROBERT J HERBST  OWNER  859-757-8262

Practice Location:
7911 MALL RD  FLORENCE, KY 41042-1409 US
Tel: 859-757-8262  Fax: 859-282-0976

Business Mailing Address:
7911 MALL RD  FLORENCE, KY 41042-1409 US
Tel: 859-757-8262  Fax: --

NPI Information:
NPI: 1861983199
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N213E00000XPodiatric Medicine & Surgery Service Providers
Y261Q00000XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261Q00000X





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