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Individual

CHARBEL ANTOINE SALEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 23RD ST STE 130, ASHLAND, KY 41101-2876
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 329-9335
(606) 324-6383

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
35.098084
OH
207RN0300X
Nephrology Physician
Primary
43957
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3150656
OH
05
3810020478
WV
05
7100175080
KY
Enumeration date
05/16/2008
Last updated
03/31/2016
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