PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is a multi-specialty clinic center in Ft Wright, KY. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1598438822. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison Pike - Ft Wright.
The provider's business location address is:
1045 EATON DR
FT WRIGHT, KY
ZIP 41017-655
Phone: (859) 331-3529
Fax: (407) 866-2842
The provider's authorized official is Jonathan B Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 18D2149688 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/2/2021 and was last updated on 8/15/2022.