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General NPI Number Information
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NPI Number | 1063304145
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Entity Type | Organization
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Legal Business Name | IVX HEALTH OF KENTUCKY, PLLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 620 BUTTERMILK PIKE
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City | CRESCENT SPRINGS
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State | KY
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Zip | 41017-1302
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Country | US
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Telephone | 859-628-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 214 CENTERVIEW DR STE 250
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City | BRENTWOOD
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State | TN
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Zip | 37027-3248
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM SEIBELS
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Credential |
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Telephone | 615-610-3727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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