Organization
PHYSICIANS GERIATRIC HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KIRKPATRICK MD (PRESIDENT)
(502) 553-0810
Entity
Organization
Contact information
Practice address
1804 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(502) 553-0810
(502) 288-6603
Mailing address
1804 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(502) 553-0810
(502) 288-6603
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25893
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291217
ANTHEM
KY
05
—
1063431
—
KY
Enumeration date
01/25/2007
Last updated
12/26/2007
Update your record
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