ABDUL LATIF BANIRE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1003195306- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 85 N GRAND AVE, FORT THOMAS, KY, 410751793
- Phone
- (859) 572-3618
- Fax
- (859) 572-2366
Specialties & Taxonomies
Physician Assistant
Primary License: KY #PA1650
Physician Assistant
License: IN #PA1650