Edwards, Dana Phillip

Edwards, Dana Phillip is an individual health care provider with primary practice located at 204 Town Branch Rd , Manchester KY 40962-1322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, Dana Phillip can be contacted via phone (606) 598-8766.

Contact Information

Primary practice address
204 Town Branch Rd Manchester KY 40962-1322
Phone: (606) 598-8766
Fax: (606) 598-1903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34747 Kentucky

Profile Details

NPI number 1164424131
LBN Legal business name Edwards, Dana Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164424131 NPPES
Kentucky MEDICAID 64347479
Kentucky Other 1164424131

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