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General NPI Number Information
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NPI Number | 1982154316
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Entity Type | Organization
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Legal Business Name | KIDNEY SPECIALISTS OF KENTUCKY
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 105 FINANCIAL DRIVE SUITE 105
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8437
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Country | US
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Telephone | 270-765-5112
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Fax |
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Provider Business Mailing Address
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Address Line | 105 FINANCIAL DRIVE SUITE 105
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8437
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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 | OWNER/M.D.
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Name | DR. KHALID BHATTI
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Credential | M.D.
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Telephone | 270-765-5112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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