Individual
JOHN TIMOTHY EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105B WEST 18TH STREET, HOPKINSVILLE, KY 42240
(270) 889-0567
(270) 889-9048
Mailing address
PO BOX 1313, HOPKINSVILLE, KY 42241
(270) 889-0567
(270) 889-9048
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
31114
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000054212
—
KY
05
—
64311145
—
KY
Enumeration date
01/23/2007
Last updated
07/09/2007
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