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NPI Code Detail

MEDICARE: DR. DAVID ERIC UTLEY D.O.

MEDICARE: DR. DAVID ERIC UTLEY D.O.
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
1207Q00000XFamily Medicine Physician02003755AIN
2207Q00000XFamily Medicine Physician03278KY

General Provider Information

NPI Number : 1902036296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ERIC UTLEY D.O.
Provider Business Mailing Address
First Line : PO BOX 23229
Second Line :
City : OWENSBORO
State : KY
Zip : 42304-3229
Country : US
Telephone Number : 270-688-1330
Fax Number : 270-399-1338
Provider Business Practice Location Address
First Line : 1200 BARRET BLVD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4950
Country : US
Telephone Number : 270-844-8600
Fax Number : 270-844-8610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 12/26/2023

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Directions to “ DR. DAVID ERIC UTLEY D.O.” Practice Location

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