Individual
MR. GARY R AHNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 S 3RD ST, SUITE A, DANVILLE, KY 40422-2016
(859) 236-7712
(859) 236-7246
Mailing address
333 S 3RD ST, SUITE A, DANVILLE, KY 40422-2016
(859) 236-7712
(859) 236-7246
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046066
BCBS
KY
01
—
07-00064
UNITED HEALTH CARE
KY
01
—
160033441
MEDICARE RR
KY
01
—
19001
LICENSE
KY
01
—
5731704
AETNA
KY
05
—
64190010
—
KY
01
—
AA7697040
HEALTHWISE
KY
Enumeration date
11/14/2005
Last updated
01/05/2010
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