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Organization

CENTRAL KENTUCKY MEDICAL GROUP, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGIA BLAIR BARKER (ADMINISTRATOR)
(859) 278-9413
Entity
Organization

Contact information

Practice address
115 CROSSFIELD DR STE A, VERSAILLES, KY 40383-1845
(859) 873-9843
Mailing address
115 CROSSFIELD DR STE A, VERSAILLES, KY 40383-1845
(859) 873-9843

Taxonomy

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

Other

Enumeration date
08/15/2006
Last updated
04/15/2008
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