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Organization

SAINT JOSEPH MEDICAL FOUNDATION, INC

Active
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Organization

SAINT JOSEPH MEDICAL FOUNDATION, INC

Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
Draper Family Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
KANDI R REA (PHYSICIAN CREDENTIALING)
(606) 330-3404
Entity
Organization

Contact information

Practice address
1250 KEENE RD, STE 102, NICHOLASVILLE, KY 40356
(859) 885-9402
(859) 887-1624
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17955
KY

Other

Enumeration date
01/15/2009
Last updated
01/15/2009
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