Individual
DR. KOBKIT PUTRAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962
(606) 598-5104
(606) 983-7252
Mailing address
600 GREENWAY DR, LONDON, KY 40741-1629
(606) 401-5490
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41570
KY
207Q00000X
Family Medicine Physician
TP656
KY
Other
Enumeration date
01/10/2008
Last updated
07/17/2023
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