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Individual

RON P HANDSHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
624 MAYSVILLE RD, SUITE C, MT STERLING, KY 40353-9767
(859) 499-4351
(859) 499-4321
Mailing address
127 WOODFORD DR, WINCHESTER, KY 40391-9754

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003272
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700142600
KY
Enumeration date
05/08/2006
Last updated
03/04/2011
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