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Individual

JOSEPH JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
509 MEMORIAL DR, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-1688
Mailing address
509 MEMORIAL DR, MANCHESTER, KY 40962-6195
(606) 598-8813
(606) 598-1688

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24548
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000175412
FEDERAL BLACK LUNG
KY
05
64245483
KY
Enumeration date
12/18/2006
Last updated
03/07/2012
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