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Individual

DR. AVASHKAR WOOMPATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-4027
(859) 912-7211
(859) 655-6674
Mailing address
85 N GRAND AVE, FORT THOMAS, KY 41075-4027
(859) 912-7211
(859) 655-6674

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
05478
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/20/2019
Last updated
08/01/2023
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