George Avery Kondik in Crestview Hills - Surgical
George Avery Kondik - NPI 1861497661
George Avery Kondik is a Surgical in Crestview Hills, Kentucky. George Avery Kondik practices all healthcare services and medical treatments related to Surgical. The NPI Number for George Avery Kondik is 1861497661. The last update date is 2015-05-12.
George Avery Kondik's current location address is 2845 Chancellor Dr, Crestview Hills, Kentucky. You can contact this provider via phone number 8594264200 and fax number 8594264206. The mailing address for George Avery Kondik is 2845 Chancellor Dr, Crestview Hills, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Avery Kondik |
|---|---|
| Address | 2845 Chancellor Dr, Crestview Hills, Kentucky |
| Phone Number | 8594264200 |
| Fax Number | 8594264206 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1861497661 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
| Address | 2845 Chancellor Dr |
|---|---|
| City | Crestview Hills |
| State | Kentucky (KY) |
| Post Code | 4101734180 |
| Phone Number | 8594264200 |
| Fax Number | 8594264206 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA568 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB8861 | KY | RAILROAD MEDICARE | |
| 241201 | KY | ANTHEM | |
| 90008962 | KY | MEDICAID DME | |
| 970027844 | KY | RAILROAD MEDICARE | |
| 428850003 | KY | MEDICARE DME | |
| 95001970 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to George Avery Kondik by the Centers for Medicare & Medicaid Services?
The George Avery Kondik has been assigned the NPI (National Provider Identifier) 1861497661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where George Avery Kondik is physically located?
The George Avery Kondik is physically situated at the following address: 2845 Chancellor Dr, Crestview Hills, KY, 4101734180.
What is George Avery Kondik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for George Avery Kondik is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861497661 to George Avery Kondik?
The Centers for Medicare & Medicaid Services originally issued the 1861497661 to George Avery Kondik on 2005-06-17.
As of what date were the George Avery Kondik's details last updated?
The information pertaining to the George Avery Kondik, including its address, specialty, and other details, was most recently updated on 2015-05-12.