Organization
TRISTATE HOSPITALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHEDER KUTMAH M.D. (VICE PRESIDENT)
(859) 992-4660
Entity
Organization
Contact information
Practice address
723 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1304
(859) 575-8346
Mailing address
723 BUTTERMILK PIKE, CRESCENT SPRINGS, KY 41017-1304
(859) 575-8346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35543
KY
208M00000X
Hospitalist Physician
Primary
35543
KY
Other
Enumeration date
10/17/2012
Last updated
12/28/2012
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