person
Mr. George Avery Kondik, PA-C
Surgical Physician Assistant in Crestview Hills, Kentucky
NPI 1861497661

George Avery Kondik is a Surgical Physician Assistant based in Edgewood, KY and is specialized in Surgical. George Avery Kondik practices in Crestview Hills, KY and has the professional credentials of PA-C. The NPI Number for George Avery Kondik is 1861497661 and holds a License No. PA568 (Kentucky).

The current practice location address for George Avery Kondik is 2845 Chancellor Dr, Crestview Hills, KY and can be reached out via phone at 859-426-4200 and via fax at 859-426-4206.

Location: 2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
person
Provider Profile Details
NPI Number
1861497661
Provider Name
George Avery Kondik
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2845 Chancellor Dr, Crestview Hills, KY, 41017-3405
Phone Number
859-426-4200
Fax Number
859-426-4206
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB8861 01 KY RAILROAD MEDICARE
000000241201 01 KY ANTHEM
90008962 01 KY MEDICAID DME
970027844 01 KY RAILROAD MEDICARE
428850003 01 KY MEDICARE DME
95001970 05 KY
institution
Provider Business Practice Location Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-426-4200
Fax Number
859-426-4206
person
Provider Business Mailing Address Details
Address
2845 Chancellor Dr
City
State
Zip
41017-3418
Phone Number
859-426-4200
Fax Number
859-426-4206
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA568 (Kentucky)
Definition
Definition to come...
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