# DESCHNER MEDICAL SERVICES LLC DEBOSS NEUROLOGY & PAIN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801252309
- **Authorized official:** REBEKAH ELIZABETH MCMULLEN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (702) 979-8856

## Contact information

- **Practice address:** 360 AMSDEN AVE, VERSAILLES, KY 40383-1851
- **Practice address phone:** (859) 256-0023
- **Mailing address:** 360 AMSDEN AVE, VERSAILLES, KY 40383-1851
- **Mailing address phone:** (859) 256-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | TP792 | KY | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 01/13/2016