Individual
IDIRIS SHARIF ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 CAVALIER BLVD STE 119, FLORENCE, KY 41042-5168
(502) 821-4997
Mailing address
71 CAVALIER BLVD STE 119, FLORENCE, KY 41042-5168
(502) 821-4997
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
4497
KY
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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