Organization
KISHORE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADHAV KUMAR KISHORE M.D. (OWNER)
(606) 599-0200
Entity
Organization
Contact information
Practice address
94 MARIE LANGDON DR, SUITE 2, MANCHESTER, KY 40962-6353
(606) 599-0200
(606) 599-0202
Mailing address
94 MARIE LANGDON DR, SUITE 2, MANCHESTER, KY 40962-6353
(606) 599-0200
(606) 599-0202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33372
KY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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