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Individual

DR. SAMER A KSEIBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 HARRODSBURG RD, A300, LEXINGTON, KY 40504-3751
(859) 313-4744
(859) 276-5939
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35078940
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35078940
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
44438
KY
207RP1001X
Pulmonary Disease Physician
35078940
OH
207RP1001X
Pulmonary Disease Physician
Primary
44438
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2592038
OH
05
64095920
KY
Enumeration date
05/02/2006
Last updated
06/12/2023
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