Individual
JOSIAH ETHAN ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 US HIGHWAY 41A S, DIXON, KY 42409-9447
(270) 639-9101
(270) 639-9332
Mailing address
1355 US HIGHWAY 41A S, DIXON, KY 42409-9447
(270) 639-9101
(270) 639-9332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11021404A
IN
207Q00000X
Family Medicine Physician
Primary
58535
KY
Other
Enumeration date
07/17/2020
Last updated
08/05/2025
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