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Individual

KJELL VAN ROYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
(502) 562-0326
Mailing address
225 ABRAHAM FLEXNER WAY STE 850, LOUISVILLE, KY 40202-1858
(502) 562-0312
(502) 562-0326

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
FT601
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FT601
STATE LICENSE
KY
Enumeration date
08/09/2019
Last updated
08/09/2019
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