Organization
LIVEWELL GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY J DICHIARA MD (MANAGING MEMBER/ PRESIDENT)
(859) 363-5515
Entity
Organization
Contact information
Practice address
23 TAFT HWY STE B, DRY RIDGE, KY 41035-8121
(859) 363-5515
(859) 545-5074
Mailing address
PO BOX 739, UNION, KY 41091-0739
(859) 363-5515
(859) 545-5074
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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