Individual
GIOVANNIE EUGENIO-ANCIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
754 S HWY 27, SOMERSET, KY 42501
(606) 677-6787
(606) 451-0035
Mailing address
PO BOX 997, SOMERSET, KY 42502
(606) 677-6787
(606) 451-0035
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
36635
KY
207Q00000X
Family Medicine Physician
Primary
36635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64036700
—
KY
Enumeration date
08/07/2006
Last updated
01/07/2025
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