Individual
ANTHONY G ZIMMERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(849) 341-7867
Mailing address
PO BOX 12749, COVINGTON, KY 41012-0749
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35078776
OH
207L00000X
Anesthesiology Physician
Primary
36206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000536334
ANTHEM
—
05
—
200298760
—
IN
05
—
2207721
—
OH
01
—
611077369001
HEALTHNET
—
05
—
7100020190
—
KY
Enumeration date
07/26/2006
Last updated
10/27/2014
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