Individual
JAVIER A FELIPE-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 757-2141
(859) 441-2111
Mailing address
2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 41017-1673
(859) 344-3945
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35047123
OH
208800000X
Urology Physician
Primary
47394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502370
—
OH
01
—
340019972
MEDICARE RAILROAD
OH
05
—
7100305400
—
KY
Enumeration date
03/10/2006
Last updated
09/23/2015
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