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Individual

JAMES GERARD O'BRIEN

Active
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Individual

JAMES GERARD O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32582
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
32582
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200113250
IN
05
64325822
KY
Enumeration date
05/15/2006
Last updated
03/31/2011
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