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Individual

DR. DENNIS C. SIMMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
255 SCHOOL DR, LORETTO, KY 40037-8144
(270) 865-2011
(270) 865-2012
Mailing address
5336 POTTERSHOP RD, BARDSTOWN, KY 40004-8330
(601) 479-0239
(270) 865-2012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26225
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00114739
MS
01
009915310
MEDICAID OF AL
01
080145422
RAILROAD MEDICARE
05
7100213480
KY
01
73001635
BLUE CROSS OF AL
Enumeration date
09/09/2005
Last updated
03/04/2025
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