Individual
HISHAM ABU FARSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1532 LONE OAK RD STE 315, PADUCAH, KY 42003-7942
(270) 538-5880
(270) 538-5870
Mailing address
210 BURLEY AVE STE D, HOPKINSVILLE, KY 42240-8725
(270) 538-5880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
56366
KY
Other
Enumeration date
07/09/2018
Last updated
07/11/2022
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