Individual
MR. JOSEPH BONOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
605 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2506
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001721A
IN
Other
Enumeration date
09/04/2014
Last updated
03/09/2021
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