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Organization

SOUTH OLDHAM FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAMLESH DAVE M.D. (OWNER)
(502) 241-8488
Entity
Organization

Contact information

Practice address
6520 W HIGHWAY 22, CRESTWOOD, KY 40014-9305
(502) 241-8488
(502) 241-7424
Mailing address
6520 W HIGHWAY 22, CRESTWOOD, KY 40014-9305
(502) 241-8488
(502) 241-7424

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34317
KY
207R00000X
Internal Medicine Physician
34317
KY

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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