Individual
PETER DEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
Mailing address
302 LOTIS WAY, LOUISVILLE, KY 40207-1909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35191
KY
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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