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Individual

JOSHUA MAXWELL BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 BARDSTOWN RD STE 8, LOUISVILLE, KY 40204-1333
(502) 456-7047
(502) 457-1491
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47083
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100217160
KY
01
P01492227 (KOHMG)
RR MEDICARE
KY
Enumeration date
03/23/2011
Last updated
08/22/2024
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