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NPI Profile for KENTUCKY CENTER FOR ORAL MAXILLOFACIAL SURGERY in RICHMOND, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1740323633 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/14/2007 | |
| Last updated | 09/29/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
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KENTUCKY CENTER FOR ORAL & MAXILLOFACIAL SURGERY