NPI 1194984443

Phil James Nyderek

Practitioner Home Modifications Contractor Greenup, KY

Practice location

Address: 103 Ashmoore Drive, Greenup, KY 41144
Phone: (740) 821-6973
Fax: (606) 473-1389

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

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Registry record

NPI: 1194984443
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2008
Record last updated: 12 May 2015

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.