Organization
KENTUCKY SPINE AND PAIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNAWAR SIDDIQI MD (OWNER)
(606) 877-4560
Entity
Organization
Contact information
Practice address
106 FORTRESS PROPERTIES ST, SUITE 2, LONDON, KY 40741-3125
(606) 877-4560
(606) 877-4578
Mailing address
106 FORTRESS PROPERTIES ST, SUITE 2, LONDON, KY 40741-3125
(606) 877-4560
(606) 877-4578
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
01/29/2015
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