Individual
NORMAN E EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 S WATER ST, LOUISA, KY 41230-1387
(606) 638-4504
(606) 638-4186
Mailing address
203 S WATER ST, PO BOX 120, LOUISA, KY 41230-1387
(606) 638-4504
(606) 638-4186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055902000
MEDICAID
WV
05
—
64138944
—
KY
Enumeration date
09/23/2005
Last updated
01/14/2010
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