Organization
NICK DEDMAN, MD AND ASSOCIATES, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK DEDMAN M.D. (PRESIDENT)
(859) 734-5173
Entity
Organization
Contact information
Practice address
466 LINDEN AVE, HARRODSBURG, KY 40330-1841
(859) 734-5173
(859) 734-9925
Mailing address
466 LINDEN AVE, HARRODSBURG, KY 40330-1841
(859) 734-5173
(859) 734-9925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26660
KY
207R00000X
Internal Medicine Physician
20896
KY
363LF0000X
Family Nurse Practitioner
6549P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922130
—
KY
Enumeration date
05/11/2006
Last updated
09/19/2014
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