Tristate Hospitalist

NPI #1427301282 in Crescent Springs, Kentucky

Provider Information

NPI Number: 1427301282
Entity Type: Organization
Organization Name: Tristate Hospitalist
Primary Specialty: Hospitalist
Enumeration Date: Oct 17, 2012
Last Updated: Dec 28, 2012

Practice Location

Address: 723 BUTTERMILK PIKE
City: Crescent Springs
State: Kentucky
ZIP Code: 41017-1304
Phone: (859) 575-8346

Authorized Official

Name: DR. KHEDER KUTMAH, M.D.
Title: VICE PRESIDENT
Phone: (859) 992-4660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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