Organization
DESCHNER MEDICAL SERVICES LLC DEBOSS NEUROLOGY & PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH ELIZABETH MCMULLEN (DIRECTOR OF OPERATIONS)
(702) 979-8856
Entity
Organization
Contact information
Practice address
360 AMSDEN AVE, VERSAILLES, KY 40383-1851
(859) 256-0023
Mailing address
360 AMSDEN AVE, VERSAILLES, KY 40383-1851
(859) 256-0023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TP792
KY
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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