Organization
REGINA L MCDANIELS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA LYNN MCDANIELS M.D. (OPERATING MANAGER / OWNER)
(859) 626-0627
Entity
Organization
Contact information
Practice address
370 HIGHLAND PARK DR, SUITE 2, RICHMOND, KY 40475-3546
(859) 626-0627
(859) 626-0114
Mailing address
370 HIGHLAND PARK DR, SUITE 2, RICHMOND, KY 40475-3546
(859) 626-0627
(859) 626-0114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64050768
—
KY
Enumeration date
11/08/2007
Last updated
11/08/2007
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