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Organization

BARDSTOWN WOMENS HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BASIM KAHLEIFEH MD (OWNER)
(502) 348-8100
Entity
Organization

Contact information

Practice address
118 PATRIOT DRIVE, SUITE 202, BARDSTOWN, KY 40004
(502) 348-8100
Mailing address
118 PATRIOT DRIVE, SUITE 202, BARDSTOWN, KY 40004
(502) 348-8100

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36376
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64033657
KY
Enumeration date
05/29/2007
Last updated
09/24/2007
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