Individual
ANDREW PETER BALBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 BEVINS LN, SUITE F, GEORGETOWN, KY 40324-8534
(502) 863-2818
(502) 863-2764
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7906
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41057
KY
208000000X
Pediatrics Physician
41057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100011650
—
KY
Enumeration date
05/20/2007
Last updated
02/11/2017
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