Organization
KENTUCKIANA THORACIC & VASCULAR SURGERY. P.C/
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCO RALPH REA M.D. (PHYSICIAN/OWNER)
(812) 949-8355
Entity
Organization
Contact information
Practice address
1919 STATE ST, SUITE 364, NEW ALBANY, IN 47150-4929
(812) 949-8355
(812) 949-4941
Mailing address
1919 STATE ST, SUITE 364, NEW ALBANY, IN 47150-4929
(812) 949-8355
(812) 949-4941
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
04712
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27240
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000562595
BLUE CROSS IN&KY
—
05
—
200897280 A
—
IN
05
—
64272404
—
KY
Enumeration date
03/20/2008
Last updated
07/25/2008
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