Organization
KENTUCKY EMERGENCY ROOM PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD KEITH MD (CEO)
(270) 338-8291
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(800) 513-3044
(513) 281-4545
Mailing address
2950 ROBERTSON AVE, CINCINNATI, OH 45209-1268
(800) 513-3044
(513) 281-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65901779
—
KY
Enumeration date
11/22/2006
Last updated
03/07/2011
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