Individual
DR. CESAR OCAMPO AGTARAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 41339-7247
(606) 693-0343
(606) 693-0322
Mailing address
1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 41339-7247
(606) 693-0343
(606) 693-0322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31497
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306047105
NPI
KY
05
—
6431-4974
—
KY
Enumeration date
08/09/2005
Last updated
09/22/2017
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