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Organization
DIABETIC HEALTH, INC.
Active
Organization
DIABETIC HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D SPADY D.O. (OWNER)
(606) 598-8813
Entity
Organization
Contact information
Practice address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-0983
Mailing address
509 MEMORIAL DR, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000672417
ANTHEM BLUE CROSS BLUE SHIELD
KY
05
—
710016290
—
KY
Enumeration date
03/05/2010
Last updated
10/24/2013
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