Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2015-09-15
- Last updated
- 2015-09-15
Licenses
The registry row did not include a license.
Location
- Practice location
- 1903 GRAPE ARBOR WAY
- City
- FLOYDS KNOBS IN
- Postal code
- 471199026
- Phone
- 502-592-2508
Organization contact
- Name
- CLIFTON DUKES
- Title
- President
- Phone
- 5025922508
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.