Individual
JONATAN DAVID MANOTAS GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 HELMWOOD DR, ELIZABETHTOWN, KY 42701-2834
(270) 769-5579
(270) 706-5547
Mailing address
100 HELMWOOD DR, ELIZABETHTOWN, KY 42701-2834
(270) 769-5579
(270) 706-5547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58081
KY
Other
Enumeration date
05/06/2020
Last updated
10/09/2023
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