Individual
IBRAHIM VALDES-MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 HARRODSBURG RD, LEXINGTON, KY 40504-3751
(859) 313-2963
(859) 313-3541
Mailing address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 451-2994
(606) 451-2975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000475573
ANTHEM
KY
01
—
000000513190
ANTHEM BCBS
KY
05
—
64120678
—
KY
01
—
P00471570
RAILROAD MEDICARE
KY
Enumeration date
05/04/2006
Last updated
02/11/2011
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