Organization
PAUL GERARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE L SULLIVAN (OFFICE MANAGER)
(270) 769-5579
Entity
Organization
Contact information
Practice address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 769-5579
(270) 765-7975
Mailing address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 769-5579
(270) 765-7975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18096
KY
Other
Enumeration date
07/27/2006
Last updated
01/05/2011
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