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Mohammad K Gayasaddin
Specialist in Elizabethtown, Kentucky
NPI 1114176682

Mohammad K Gayasaddin is a Specialist based in Elizabethtown, KY. Mohammad K Gayasaddin practices in Elizabethtown, KY. The NPI Number for Mohammad K Gayasaddin is 1114176682 and holds a License No. 39269 (Kentucky).

The current practice location address for Mohammad K Gayasaddin is 914 N Dixie Ave Ste 301, Elizabethtown, KY and can be reached out via phone at 270-765-2220 and via fax at 270-765-2226.

Location: 914 N Dixie Ave Ste 301, Elizabethtown, KY, 42701-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114176682
Provider Name
Mohammad K Gayasaddin
Credential
Provider Entity Type
Organization
Address
914 N Dixie Ave Ste 301, Elizabethtown, KY, 42701-2515
Phone Number
270-765-2220
Fax Number
270-765-2226
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64092166 05 KY
institution
Provider Business Practice Location Address Details
Address
914 N Dixie Ave Ste 301
City
Elizabethtown
State
Kentucky
Zip
42701-2515
Phone Number
270-765-2220
Fax Number
270-765-2226
person
Provider Business Mailing Address Details
Address
914 N Dixie Ave Ste 301
City
Elizabethtown
State
Kentucky
Zip
42701-2515
Phone Number
270-765-2220
Fax Number
270-765-2226
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
39269 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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