Liberty Wellcare, Pllc

NPI #1134563125 in Danville, Kentucky

Provider Information

NPI Number: 1134563125
Entity Type: Organization
Organization Name: Liberty Wellcare, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 22, 2013
Last Updated: Apr 22, 2013

Practice Location

Address: 216 BLUFFWOOD DR
City: Danville
State: Kentucky
ZIP Code: 40422-9788
Phone: (859) 238-7756

Authorized Official

Name: DR. IMAD A HADDAD, MD
Title: CEO
Phone: (859) 238-7756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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