Tristate Hospitalist
Organization Active NPI Hospitalist Physician · Crescent Springs, KY
NPI 1427301282 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1427301282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 35543 (KY)
- Legal business name
- TRISTATE HOSPITALIST
- Practice address
- 723 Buttermilk Pike
Crescent Springs, KY 41017-1304 - Phone
- (859) 575-8346
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Kheder Kutmah, M.D.
- Title
- Vice President
- Phone
- (859) 992-4660
National Provider Directory
Locations
723 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 442-1560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 35543 | KY | |
| Hospitalist Physician |
208M00000X | 35543 | KY | Yes |
Addresses
Primary practice location
723 Buttermilk Pike
Crescent Springs, KY 41017-1304
Mailing address
723 Buttermilk Pike
Crescent Springs, KY 41017-1304
Phone (859) 575-8346
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- Jamie Michelle Stumbo
- Rachel Thiem
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- Eric Joseph Volpenhein
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- Whitney Watson
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All providers in Crescent Springs, KY · Hospitalist Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.