Individual
LEONEL GUIDO CUADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BRECKENRIDGE STREET, OWENSBORO, KY 42303-1090
(270) 685-8224
(270) 685-8228
Mailing address
1200 BRECKENRIDGE ST, OWENSBORO, KY 42303-1089
(270) 684-0028
(270) 685-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24249
NE
207R00000X
Internal Medicine Physician
Primary
43942
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100153660
—
KY
Enumeration date
07/23/2007
Last updated
05/12/2021
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