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NPI Code Detail

MEDICARE: DAMIR KUSMIC MD

MEDICARE:   DAMIR  KUSMIC  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
1207R00000XInternal Medicine Physician29143WV
2207RG0100XGastroenterology Physician58602KY

General Provider Information

NPI Number : 1780039727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIR KUSMIC MD
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number : 606-330-7835
Fax Number :
Provider Business Practice Location Address
First Line : 160 N EAGLE CREEK DR STE 202
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2125
Country : US
Telephone Number : 859-263-0022
Fax Number : 859-263-4666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2016
Last Update Date : 07/05/2023

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Directions to “ DAMIR KUSMIC MD” Practice Location

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