Individual
JOSEPH RANDALL DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
991 MEDICAL PARK DR, MAYSVILLE, KY 41056-8764
(606) 759-9050
(606) 759-4407
Mailing address
991 MEDICAL PARK DR, MAYSVILLE, KY 41056-8764
(606) 759-9050
(606) 759-4407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22358
KY
208800000X
Urology Physician
Primary
22358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64223589
—
KY
Enumeration date
07/05/2005
Last updated
10/04/2011
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