Organization
DANVILLE CARDIOVASCULAR CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S LOWERY (INS BILLING CLERK)
(859) 236-6621
Entity
Organization
Contact information
Practice address
1250 BEN ALI DR, DANVILLE, KY 40422-8937
(859) 236-6621
(859) 238-0471
Mailing address
1250 BEN ALI DR, PO BOX 88, DANVILLE, KY 40422-8937
(859) 236-6621
(859) 238-0471
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000061892
ANTHEM FACETS#
KY
05
—
65924029
—
KY
Enumeration date
06/30/2005
Last updated
10/28/2009
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