Unknown Individual – Family Medicine Physician, NPI 1891894523
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 86
1520 NORTH MAIN STREET
BEAVER DAM, KY 423200086
Phone: (270) 274-7104
Fax: (270) 274-9698
Type: Mailing
N Main Street, Beaver Dam, Ohio County, Kentucky, 42320, United States
BEAVER DAM, KY 423200086
Phone: (270) 274-7104
Fax: (270) 274-9698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42320)
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