Individual
DR. DANA PHILLIP EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 TOWN BRANCH RD, MANCHESTER, KY 40962-1322
(606) 598-8766
(606) 598-1903
Mailing address
204 TOWN BRANCH RD, MANCHESTER, KY 40962-1322
(606) 598-8766
(606) 598-1903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34747
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164424131
NPI
KY
05
—
64347479
—
KY
Enumeration date
08/10/2005
Last updated
04/26/2022
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