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NPI Code Detail

MEDICARE: JAVIER A FELIPE-MORALES MD

MEDICARE: JAVIER A FELIPE-MORALES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician35047123OH
2208800000XUrology Physician47394KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340019972OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700854064
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVIER A FELIPE-MORALES MD
Provider Business Mailing Address
First Line : 2300 CHAMBER CENTER DR
Second Line : SUITE 200
City : LAKESIDE PARK
State : KY
Zip : 41017-1673
Country : US
Telephone Number : 859-344-3945
Fax Number : 859-344-5552
Provider Business Practice Location Address
First Line : 1400 GRAND AVE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2570
Country : US
Telephone Number : 859-757-2141
Fax Number : 859-441-2111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 09/23/2015

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Directions to “ JAVIER A FELIPE-MORALES MD” Practice Location

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