Individual
GERDA MAISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-7000
(859) 212-7010
Mailing address
2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 41017-1686
(859) 344-5555
(859) 212-7010
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
80317
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TP560
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100371820
—
KY
Enumeration date
09/20/2006
Last updated
12/31/2015
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