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Individual

PHILLIP H. HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 PROVIDENCE WAY, SUITE 200, NICHOLASVILLE, KY 40356-6031
(859) 260-5370
(859) 260-5379
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19405
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64194053
KY
Enumeration date
07/13/2006
Last updated
05/29/2013
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