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Contact Information

TRI STATE NEUROLOGY CLINIC, INC
563 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY41017
 Phone: 859-341-6387
 Fax: 513-721-1649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for TRI STATE NEUROLOGY CLINIC INC · (Female)

NPI # 1134319361
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2007
Last updated 11/26/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 13210
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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