Individual
ANGEL L VELAZQUEZ-SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8726 US 42, FLORENCE, KY 41042-9625
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
35-094977
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
42917
KY
Other
Enumeration date
02/11/2009
Last updated
06/10/2021
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