Individual
VICTOR R ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 230-0212
(270) 230-0104
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 230-0212
(270) 230-0104
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
37612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333566
ANTHEM
KY
01
—
2444879000
PASSPORT ADVANTAGE
KY
01
—
50003444
PASSPORT
KY
05
—
64057722
—
KY
Enumeration date
06/20/2005
Last updated
02/01/2012
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