NPI 1063745081

Saint Joseph Medical Foundation, INC

Organisation Urology Physician Berea, KY

Practice location

Address: 305 Estill St 3rd Floor, Berea, KY 40403-1742
Phone: (859) 985-8100
Fax: (859) 986-6571
Mailing address: PO Box 73652, Cleveland, OH 44193-0002

Authorised official

Name: Kandi R Rea
Title: Credentialing Specialist
Phone: (606) 330-3404

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Kentucky →

Registry record

NPI: 1063745081
Entity type: Organization
NPI issued: 9 Sep 2009
Record last updated: 29 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.