Individual
ERIC EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Mailing address
374 KROGER WAY, VERSAILLES, KY 40383-1915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006880
PT LICENSE
KY
Enumeration date
05/13/2016
Last updated
08/01/2016
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