Individual
DR. BLAINE THOMAS MISCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-2222
(859) 323-5090
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
51462
KY
2085N0904X
Nuclear Radiology Physician
Primary
51462
KY
Other
Enumeration date
06/02/2008
Last updated
06/16/2022
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