Individual
RAYMOND J MONACO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 528-1212
(606) 523-2547
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049261
ANTHEM
KY
05
—
64255631
—
KY
Enumeration date
08/28/2006
Last updated
09/17/2013
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