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Organization

RIVERBEND PHYSICAL MEDICINE & REHABILITATION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRISTAN CALDERONE BRIONES II MD (OWNER)
(270) 926-7320
Entity
Organization

Contact information

Practice address
1102 TRIPLETT ST, SUITE 2100, OWENSBORO, KY 42303-3104
(270) 926-7320
(270) 926-7302
Mailing address
1102 TRIPLETT ST, SUITE 2100, OWENSBORO, KY 42303-3104
(270) 926-7320
(270) 926-7302

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40170
KY
261QM2500X
Medical Specialty Clinic/Center
40170
KY
363LF0000X
Family Nurse Practitioner
3007708
KY

Other

Enumeration date
10/16/2006
Last updated
10/24/2017
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