Tri-state Family Medicine, Psc | |
941 29th St Ashland KY 41101-3021 | |
(606) 327-4445 | |
Not Available |
Full Name | Tri-state Family Medicine, Psc |
---|---|
Speciality | Family Medicine |
Location | 941 29th St, Ashland, Kentucky |
Authorized Official Name and Position | Arash Daemi Kayfan (OWNER) |
Authorized Official Contact | 6063274445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tri-state Family Medicine, Psc 941 29th St Ashland KY 41101-3021 Ph: (606) 327-4445 | Tri-state Family Medicine, Psc 941 29th St Ashland KY 41101-3021 Ph: (606) 327-4445 |
NPI Number | 1447291240 |
---|---|
Provider Enumeration Date | 06/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447291240 | NPI | - | NPPES |
000000208077 | Other | KY | BC/BS |
2297492 | Medicaid | OH | |
64041908 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02726 (Kentucky) | Primary |
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