Organization
INTERNAL MEDICINE ASSOCIATES OF KY PSC
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF KY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY M ULRICH (OFFICE MANAGER)
(606) 864-2179
Entity
Organization
Contact information
Practice address
2135 HIGHWAY 30, SUITE 1, LONDON, KY 40741-6139
(606) 864-2179
Mailing address
2135 HIGHWAY 30, SUITE 1, LONDON, KY 40741
(606) 864-2179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65943672
—
KY
05
—
7100019100
—
KY
Enumeration date
07/07/2006
Last updated
04/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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