Organization
ALTEA MEDICAL KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KRUEGER (VP OF RCM AND CONTRACTING)
(888) 408-7008
Entity
Organization
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
Mailing address
400 E RIVULON BLVD STE 103, GILBERT, AZ 85297-0096
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
08/21/2025
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