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Individual

MR. CURTIS DENVER EDENS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
108 W MADISON STREET, LOUISA, KY 41230
(606) 638-4900
(606) 638-4950
Mailing address
PO BOX 567, LOUISA, KY 41230
(606) 638-4900
(606) 638-4950

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02610
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6200062000
WV
05
64990369
KY
Enumeration date
10/06/2006
Last updated
09/30/2010
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