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Organization

ANNANDLEE, PLLC

Active
Other names
Bardstown Ambulatory Care
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES W PARRISH MD (OWNER/PHYSICIAN)
(502) 350-1022
Entity
Organization

Contact information

Practice address
118 PATRIOT DRIVE, SUITE 102, BARDSTOWN, KY 40004
(502) 350-1022
(502) 350-1023
Mailing address
118 PATRIOT DRIVE, SUITE 102, BARDSTOWN, KY 40004
(502) 350-1022
(502) 350-1023

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65945263
KY
05
78905015
KY
Enumeration date
05/04/2006
Last updated
05/17/2011
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