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Individual

DR. SOTONTE EBENIBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-5100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51828
KY

Other

Enumeration date
06/25/2014
Last updated
10/01/2018
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