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Individual

JUSTIN ROY KINGERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD/PHD

Contact information

Practice address
401 E CHESTNUT ST UNIT 370, LOUISVILLE, KY 40202-5703
(502) 588-4500
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2788741
NY
207R00000X
Internal Medicine Physician
Primary
56415
KY

Other

Enumeration date
04/09/2012
Last updated
03/21/2022
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