Licking Valley Internal Medicine & Pediatrics Psc

NPI 1225136153 - Pediatrics - 208000000X

NPI Details
NPI 1225136153
Enumeration Date 09/21/2006
Last Updated 04/07/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM FRANK WILLIAM
Position PRESIDENT
Phone (859) 234-9611
Fax (859) 235-0878
Practice Location
1210 KY HIGHWAY 36 E
SUITE 2A
CYNTHIANA KY, 41031-7490, US
Phone (859) 234-9611
Fax (859) 235-0878
Business Location
1210 KY HIGHWAY 36 E
SUITE 2A
CYNTHIANA KY, 41031-7490, US
Phone (859) 234-9611
Fax (859) 235-0878
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Licking Valley Internal Medicine & Pediatrics Psc NPI is 1225136153, taxonomy code is 208000000X Licking Valley Internal Medicine & Pediatrics Psc physically located at 1210 Ky Highway 36 E, Cynthiana KY, 41031-7490. NPI Number 1033115704 has the healthcare provider type.

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1225136153 NPI number is provided on an as is basis without warranty of any kind. 1225136153 is maintained by the National Plan & Provider Enumeration System. The contents of Licking Valley Internal Medicine & Pediatrics Psc are for informational purposes only.