South Oldham Medical Clinic Psc

NPI #1922142983 in Crestwood, Kentucky

Provider Information

NPI Number: 1922142983
Entity Type: Organization
Organization Name: South Oldham Medical Clinic Psc
Primary Specialty: General Practice
Enumeration Date: Feb 16, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: ASHOR ALUR, MD
Title: PHYSICIAN OWNER
Phone: (502) 241-8488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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