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Individual

MR. JAMES D QUARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 C MICHAEL DAVENPORT BLVD. STE A., FRANKFORT, KY 40601-4399
(502) 227-8681
(502) 223-7046
Mailing address
80 C MICHAEL DAVENPORT BLVD. STE A., FRANKFORT, KY 40601-4399
(502) 227-8681
(502) 223-7046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37457
KY
207RS0010X
Sports Medicine (Internal Medicine) Physician
23513
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64069610
KY
05
65934895
KY
01
ANTHEM BCBS
000000048740
KY
01
C30629
RAILROAD MEDICARE
KY
01
P00172504
RAILROAD MEDICARE
KY
Enumeration date
07/15/2005
Last updated
11/09/2018
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