| Tri-state Family Medicine, Psc | |
|
941 29th St Ashland KY 41101-3021 | |
| (606) 327-4445 | |
| Not Available |
| Full Name | Tri-state Family Medicine, Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 941 29th St, Ashland, Kentucky |
| Authorized Official Name and Position | Arash Daemi Kayfan (OWNER) |
| Authorized Official Contact | 6063274445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Family Medicine, Psc 941 29th St Ashland KY 41101-3021 Ph: (606) 327-4445 | Tri-state Family Medicine, Psc 941 29th St Ashland KY 41101-3021 Ph: (606) 327-4445 |
| NPI Number | 1447291240 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447291240 | NPI | - | NPPES |
| 000000208077 | Other | KY | BC/BS |
| 2297492 | Medicaid | OH | |
| 64041908 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02726 (Kentucky) | Primary |
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George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
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