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Individual

PHILIP B HURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2831 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 926-4100
Mailing address
2831 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 926-4100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27750
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052296
ANTHEM
KY
01
200008469
RAILROAD MEDICARE
KY
05
64277502
KY
01
K005560
TRICARE
KY
Enumeration date
05/24/2005
Last updated
12/20/2017
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