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Individual

DR. FERNANDO EDMUND ORDAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-1563
(270) 461-4529
Mailing address
7102 WOOD BRIAR RD, LOUISVILLE, KY 40241-6200
(502) 648-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25261
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64252612
KY
Enumeration date
12/05/2005
Last updated
01/29/2025
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