Individual
DR. KEFAH HABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
108 OSBORNE WAY, STE 7, GEORGETOWN, KY 40324-9693
(502) 863-6393
(502) 863-0493
Mailing address
108 OSBORNE WAY, STE7, GEORGETOWN, KY 40324-9693
(859) 312-7948
(502) 863-0493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1409DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77014090
—
KY
Enumeration date
06/04/2006
Last updated
05/14/2010
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