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Organization
REHAB ON THE ROAD, PSC
Active
Organization
REHAB ON THE ROAD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALLAN MOOK MD, PHD (PHYSICIAN)
(502) 645-1053
Entity
Organization
Contact information
Practice address
800 MAN O WAR BLVD, UNION, KY 41091-8067
(502) 645-1053
(888) 390-7623
Mailing address
800 MAN O WAR BLVD, UNION, KY 41091-8067
(502) 645-1053
(888) 390-7623
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31321
KY
Other
Enumeration date
09/30/2008
Last updated
10/17/2012
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