Organization
WOMEN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONACHAI BANCHONGMANIE MD (OWNER)
(502) 375-4900
Entity
Organization
Contact information
Practice address
5341 MITSCHER AVE, LOUISVILLE, KY 40214-2633
(502) 375-4900
Mailing address
DEPT 8241, CAROL STREAM, IL 60122-0001
(866) 286-9915
(502) 471-2051
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
17611
KY
Other
Enumeration date
02/29/2008
Last updated
06/12/2008
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