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Individual

MATTHEW BORGMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
502 FARRELL DR, COV, KY 41011-3717
(859) 331-3292
(858) 578-2864
Mailing address
502 FARRELL DR, COV, KY 41011-3717
(859) 331-3292
(858) 578-2864

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/06/2006
Last updated
07/08/2007
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