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Organization

HENRY COUNTY MEDICAL CENTER PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD M KOFF M.D. (OWNER)
(502) 845-0369
Entity
Organization

Contact information

Practice address
15 SO MAIN ST., NEW CASTLE, KY 40050
(502) 845-7550
(502) 845-5551
Mailing address
15 SOUTH MAIN STREET BOX 189, NEW CASTLE, KY 40050-0189
(502) 845-7550
(502) 845-5551

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047168
ANTHEM
KY
01
1059181
PASSPORT ADV. 2434065001
KY
05
65910200
KY
Enumeration date
09/25/2006
Last updated
12/02/2014
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