Premise Health of West Virginia Medical, Medical Corporation

NPI #1396334835 in Hebron, Kentucky

Provider Information

NPI Number: 1396334835
Entity Type: Organization
Organization Name: Premise Health of West Virginia Medical, Medical Corporation
Primary Specialty: Clinic/Center
Enumeration Date: Jan 11, 2021
Last Updated: Aug 15, 2022

Practice Location

Address: 3675 N BEND RD
City: Hebron
State: Kentucky
ZIP Code: 41048-8465
Phone: (859) 334-7587

Authorized Official

Name: DR. JON LEIZMAN, MD
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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