Individual
DR. ANTHONY E ABANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 NORTH DIXIE AVENUE, ELIZABETHTOWN, KY 42701-2526
(270) 360-0008
(270) 360-0141
Mailing address
1811 N DIXIE AVE, STE 104, PMB 130, ELIZABETHTOWN, KY 42701-5564
(270) 360-0008
(270) 360-0141
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
38573
KY
208VP0000X
Pain Medicine Physician
38573
KY
225400000X
Rehabilitation Practitioner
38573
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64084692
—
KY
Enumeration date
10/21/2005
Last updated
01/02/2020
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