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NPI Code Detail

MEDICARE: VERONICA ANNE KAVORKIAN MD

MEDICARE:   VERONICA ANNE KAVORKIAN  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
1207Q00000XFamily Medicine Physician34912KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080191473OTHERKYRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1013912831
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA ANNE KAVORKIAN MD
Provider Business Mailing Address
First Line : 2701 CHAMBERLAIN LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-1603
Country : US
Telephone Number : 502-243-9044
Fax Number : 502-243-8482
Provider Business Practice Location Address
First Line : 2701 CHAMBERLAIN LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-1603
Country : US
Telephone Number : 502-243-9044
Fax Number : 502-243-8482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 03/27/2015

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Directions to “ VERONICA ANNE KAVORKIAN MD” Practice Location

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