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Individual

JOHN KIMY DEMIAN GUIRGUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
124 S UNIVERSITY BLVD STE A, MOBILE, AL 36608-3078
(251) 343-5004
(251) 343-8383
Mailing address
720 2ND AVE STE 201, BOWLING GREEN, KY 42101-1778
(270) 843-5114
(270) 745-1230

Taxonomy

Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
57.024042
OH
207RN0300X
Nephrology Physician
Primary
48579
AL
207RN0300X
Nephrology Physician
55563
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55563
KENTUCKY LICENSE
KY
Enumeration date
04/10/2014
Last updated
12/09/2024
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