Individual
EDWARD MUNTEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
502 FARRELL DR, COV, KY 41011-3717
(859) 578-3200
Mailing address
502 FARRELL DR, COV, KY 41011-3717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
445
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KS
Enumeration date
06/21/2006
Last updated
07/08/2007
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