PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

COVINGTON, KY
NPI1942973276
Doing Business AsCTK - COVINGTON
Entity TypeOrganization
Authorized ContactJONATHAN B LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-08-02
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
1840 SIMON KENTON WAY STE 3200
COVINGTON, KY 41011-3693
Phone number: 859-392-1724
Mailing Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
5500 MARYLAND WAY
BRENTWOOD, TN 37027-7048
Phone number: