South Oldham Family Care

NPI #1043597073 in Crestwood, Kentucky

Provider Information

NPI Number: 1043597073
Entity Type: Organization
Organization Name: South Oldham Family Care
Primary Specialty: Family Medicine
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 6520 W HIGHWAY 22
City: Crestwood
State: Kentucky
ZIP Code: 40014-9305
Phone: (502) 241-8488

Authorized Official

Name: KAMLESH DAVE, M.D.
Title: OWNER
Phone: (502) 241-8488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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