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Organization

HEALTH CARE ACADEMY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHEDER KUTMAH MD (MEDICAL DIRECTOR)
(859) 992-4660
Entity
Organization

Contact information

Practice address
8820 BANKERS ST, FLORENCE, KY 41042-4212
(859) 992-4660
Mailing address
PO BOX 304, FLORENCE, KY 41022-0304
(859) 992-4660

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35543
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200829960
IN
05
64030786
KY
Enumeration date
12/03/2007
Last updated
04/20/2012
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