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Individual

MR. ATIF IKRAM

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
906 WOODLAND DR, SUITE 102, ELIZABETHTOWN, KY 42701-2752
(270) 765-5127
(270) 765-2653
Mailing address
906 WOODLAND DR, SUITE 102, ELIZABETHTOWN, KY 42701-2752
(270) 765-5127
(270) 765-2653

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
KY 0343
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70000187
KY
Enumeration date
08/04/2005
Last updated
07/08/2007
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