Individual
DR. PABLO ALABANZA MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1389 HIGHWAY 15 N, JACKSON, KY 41339-9404
(606) 666-4011
(606) 666-5801
Mailing address
PO BOX 606, JACKSON, KY 41339-0606
(606) 666-4011
(606) 666-5801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY24420
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1439702
MEDICARE PTAN NUMBER
KY
Enumeration date
01/11/2007
Last updated
01/26/2011
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