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NPI Code Detail

MEDICARE: JOSHUA KELLY SLUSHER DO

MEDICARE: JOSHUA KELLY SLUSHER DO
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 Physician34.015128OH
2207Q00000XFamily Medicine Physician2022044426MO
3207Q00000XFamily Medicine Physician05611KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649709478
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA KELLY SLUSHER DO
Provider Business Mailing Address
First Line : 2000 LITTON LN
Second Line :
City : HEBRON
State : KY
Zip : 41048-8611
Country : US
Telephone Number : 859-334-8700
Fax Number : 859-334-8707
Provider Business Practice Location Address
First Line : 2000 LITTON LN
Second Line :
City : HEBRON
State : KY
Zip : 41048-8611
Country : US
Telephone Number : 859-334-8700
Fax Number : 859-334-8707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2017
Last Update Date : 10/17/2023

Similar Medicare Providers

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2000 LITTON LN
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1295798791 — DR. ROBERT FRANK OTTE MD
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1144269796 — PAYAL S KOHLI MD
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1780785899 — MR. JAMES J STEWART JR. MD
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2000 LITTON LN
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1659844710 — KRISTEN BROWN LPCC
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1902803901 — KATHY J NOYES DNP, APRN
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1503 JOLEE DRIVE
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Directions to “ JOSHUA KELLY SLUSHER DO” Practice Location

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