Organization
DENNIS LEE NEWBERRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREAS (BILLING OFFICE MANAGER)
(812) 490-1822
Entity
Organization
Contact information
Practice address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 827-7100
Mailing address
4130 MIDDLE KNOTTSVILLE RD, HAWESVILLE, KY 42348-6603
(270) 827-7100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31736
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64872716
—
KY
Enumeration date
03/15/2016
Last updated
03/15/2016
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