Individual
GOPI ASHOKKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7668 MALL RD UNIT B, FLORENCE, KY 41042-1593
(859) 568-1900
Mailing address
408 NORTH FIRST STREET, BURGIN, KY 40310
(862) 371-6411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10964
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
06/07/2023
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