Individual
EPISON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 678-3288
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24748
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64247489
—
KY
Enumeration date
08/15/2005
Last updated
05/30/2013
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