Organization
ADVANCED SPINE & PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKARRAM A. KHAN DO (DO/OWNER)
(859) 426-7246
Entity
Organization
Contact information
Practice address
320 THOMAS MOORE PKWY, SUITE 202, CRESTVIEW HILLS, KY 41017-3410
(859) 426-7246
(513) 624-6900
Mailing address
320 THOMAS MOORE PKWY, SUITE 202, CRESTVIEW HILLS, KY 41017-3410
(859) 426-7246
(513) 624-6900
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
Other
Enumeration date
01/09/2014
Last updated
05/19/2014
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