| Kishore Internal Medicine, Psc | |
|
94 Marie Langdon Dr Ste 2 Manchester KY 40962-6353 | |
| (606) 599-0200 | |
| (606) 599-0202 |
| Full Name | Kishore Internal Medicine, Psc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 94 Marie Langdon Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Kishore Jadhav (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6065990200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishore Internal Medicine, Psc 151 N Eagle Creek Dr Ste 100 Lexington KY 40509-1889 Ph: (859) 263-4341 | Kishore Internal Medicine, Psc 94 Marie Langdon Dr Ste 2 Manchester KY 40962-6353 Ph: (606) 599-0200 |
| NPI Number | 1083627087 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083627087 | NPI | - | NPPES |
| 31-000839 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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