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Individual

SUZANNE WEINRICH OGDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
269 EAST BRANNON ROAD, NICHOLASVILLE, KY 40356-8059
(859) 258-8840
(859) 258-8859
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02487
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080176348
RR MEDICARE PIN
01
37903705
MEDICAID LAB GROUP
KY
01
4000501
MEDICARE LAB GROUP
KY
05
64024789
KY
01
CB5773
RR MEDICARE GROUP
Enumeration date
07/18/2006
Last updated
04/15/2026
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