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Individual

DR. STEVEN KENT GANZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2416 REGENCY ROAD, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-3847
Mailing address
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-3847

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-106836
IL
208100000X
Physical Medicine & Rehabilitation Physician
44711-021
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
03100
KY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
060836
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100308400
KY
Enumeration date
12/10/2007
Last updated
07/29/2021
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