Provider Demographics
NPI:1407254089
Name:NORTHERN KENTUCKY HEALTH & WELLNESS, PLLC
Entity Type:Organization
Organization Name:NORTHERN KENTUCKY HEALTH & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARAG
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-360-3245
Mailing Address - Street 1:215 THOMAS MORE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3498
Mailing Address - Country:US
Mailing Address - Phone:859-360-3245
Mailing Address - Fax:859-360-3548
Practice Address - Street 1:215 THOMAS MORE PKWY STE B
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3498
Practice Address - Country:US
Practice Address - Phone:859-360-3245
Practice Address - Fax:859-360-3548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty