Healthcare Provider Details

I. General information

NPI: 1235188863
Provider Name (Legal Business Name): RAMSEY KEVIN MAJZOUB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 DUTCHMANS PKWY SUITE 210
LOUISVILLE KY
40205-3338
US

IV. Provider business mailing address

13281 OBANNON STATION WAY
LOUISVILLE KY
40223-4188
US

V. Phone/Fax

Practice location:
  • Phone: 502-899-9996
  • Fax: 502-899-9987
Mailing address:
  • Phone: 502-899-9996
  • Fax: 502-899-9987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number35411
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: