Organization
KENTUCKY CARDIOLOGY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEZAR M. FALLUJI M.D. (OFFICER)
(859) 234-9222
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36E, SUITE G3, CYNTHIANA, KY 41031
(859) 234-9222
(859) 234-5666
Mailing address
1210 KY HIGHWAY 36E, SUITE G3, CYNTHIANA, KY 41031
(859) 234-9222
(859) 234-5666
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100000890
—
KY
Enumeration date
01/17/2007
Last updated
12/30/2008
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