Organization
NORTHERN KY INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUSTIN MD (PRESIDENT)
(859) 817-9772
Entity
Organization
Contact information
Practice address
1515 CAVALRY LN, FLORENCE, KY 41042-8430
(859) 817-9772
(859) 817-9885
Mailing address
1515 CAVALRY LN, FLORENCE, KY 41042-8430
(859) 817-9772
(859) 817-9885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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