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Organization

GOLDENROD HEALTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOBY G THECKEDATH (CEO)
(859) 539-6487
Entity
Organization

Contact information

Practice address
1555 E NEW CIRCLE RD, STE 142-214, LEXINGTON, KY 40509-1043
(859) 539-6487
Mailing address
1555 E NEW CIRCLE RD, STE 142-214, LEXINGTON, KY 40509-1043
(859) 539-6487

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
38387
KY

Other

Enumeration date
11/01/2010
Last updated
11/02/2010
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