Individual
DR. GEORGE CLIFTON CHRISTENSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
03878
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TP565
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124248
—
OH
Enumeration date
07/24/2008
Last updated
11/04/2021
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