Individual
DR. GEORGE KUSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
501 S. PRESTON ST., SCHOOL OF DENTISTRY, SUITE 334, LOUISVILLE, KY 40292-0001
(502) 852-4171
(502) 852-1973
Mailing address
501 S. PRESTON ST., SCHOOL OF DENTISTRY, SUITE 334, LOUISVILLE, KY 40292-0001
(502) 852-4171
(502) 852-1973
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5901
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
29938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60059011
—
KY
05
—
6405901700
—
KY
Enumeration date
05/11/2006
Last updated
02/14/2008
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