Organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Active
Parent organization
SAINT JOSEPH MEDICAL FOUNDATION, INC
Other names
St Joseph Berea Children's ENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOSEPH MEDICAL FOUNDATION, INC
Authorized official
MRS. KANDI R REA (PHYSICIAN CREDENTIALING)
(606) 330-3404
Entity
Organization
Contact information
Practice address
305 ESTILL ST, 3RD FLOOR, BEREA, KY 40403-1742
(859) 986-6791
(606) 330-3100
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(606) 330-3404
(606) 330-3100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
28530
KY
Other
Enumeration date
12/17/2008
Last updated
01/15/2009
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