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Individual

ASHWANI KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5388

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R2140
KY
208M00000X
Hospitalist Physician
Primary
A117524
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00928226
RAILROAD MEDICARE
KY
Enumeration date
06/19/2009
Last updated
07/17/2023
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