Provider Demographics
NPI:1235188863
Name:MAJZOUB, RAMSEY KEVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMSEY
Middle Name:KEVIN
Last Name:MAJZOUB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13281 OBANNON STATION WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4188
Mailing Address - Country:US
Mailing Address - Phone:502-899-9996
Mailing Address - Fax:502-899-9987
Practice Address - Street 1:6440 DUTCHMANS PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-3338
Practice Address - Country:US
Practice Address - Phone:502-899-9996
Practice Address - Fax:502-899-9987
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY354112086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64127517Medicaid
KY64127517Medicaid
00130001Medicare PIN