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Individual

CHARLES ECKERLINE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5901
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19589
KY
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
19589
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64195894
KY
Enumeration date
07/01/2006
Last updated
02/17/2016
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