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Individual

DR. EVAN HUNTER MUSSETTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3605
Mailing address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3605

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46512
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46512
LICENSE
KY
Enumeration date
03/26/2010
Last updated
12/04/2013
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