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Organization

KENTUCKY EMERGENCY MEDICINE PHYSICIANS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STANLEY P TARASKA MD (PRESIDENT)
(812) 471-1591
Entity
Organization

Contact information

Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7700
(812) 471-6650
Mailing address
PO BOX 933, HENDERSON, KY 42419-0933
(812) 471-1591
(812) 471-6650

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65903825
KY
Enumeration date
09/20/2005
Last updated
08/22/2020
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