Individual
DR. JOEL DEAN EADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 465-3812
(270) 465-8352
Mailing address
95 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 465-3812
(270) 465-8352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049741
BC/BS
KY
01
—
0989814
MEDICARE HOSPITAL
—
05
—
64221518
—
KY
Enumeration date
07/07/2005
Last updated
03/07/2023
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