Individual
ANGELA RICHELLE DEBORD ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-5176
(606) 256-5191
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-5176
(606) 256-5191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4380
KY
Other
Enumeration date
03/22/2017
Last updated
06/18/2020
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