| Liberty Wellcare, Pllc | |
|
216 Bluffwood Dr Danville KY 40422-9788 | |
| (859) 238-7756 | |
| (270) 378-5786 |
| Full Name | Liberty Wellcare, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 216 Bluffwood Dr, Danville, Kentucky |
| Authorized Official Name and Position | Imad A Haddad (CEO) |
| Authorized Official Contact | 8592387756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Wellcare, Pllc 216 Bluffwood Dr Danville KY 40422-9788 Ph: (859) 238-7756 | Liberty Wellcare, Pllc 216 Bluffwood Dr Danville KY 40422-9788 Ph: (859) 238-7756 |
| NPI Number | 1134563125 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134563125 | NPI | - | NPPES |
| 64065865 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37821 (Kentucky) | Primary |
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