NPI 1003195306

Abdul Latif Banire, PAC

Practitioner Physician Assistant Fort Thomas, KY

Practice location

Address: 85 N Grand Ave, Fort Thomas, KY 41075-1793
Phone: (859) 572-3618
Fax: (859) 572-2366
Mailing address: PO Box 18667, Erlanger, KY 41018-0667

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1650 (KY)

Other Physician Assistant providers in Kentucky →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1650 (IN)

Registry record

NPI: 1003195306
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2011
Record last updated: 24 May 2021

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.