Organization
TRI-STATE FAMILY MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARASH DAEMI KAYFAN D.O. (OWNER)
(606) 327-4445
Entity
Organization
Contact information
Practice address
941 29TH ST, ASHLAND, KY 41101-3021
(606) 327-4445
Mailing address
941 29TH ST, ASHLAND, KY 41101-3021
(606) 327-4445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02726
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208077
BC/BS
KY
05
—
2297492
—
OH
05
—
64041908
—
KY
Enumeration date
06/10/2006
Last updated
08/22/2020
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