Organization · NPI-2

Bellefonte Physician Services, INC.

Family Medicine · Ashland, KY

NPI number1205137494
StatusActive
Last updated in NPPESMay 20, 2019

Details

NPI
1205137494
Entity type
Organization (NPI-2)
Legal business name
Bellefonte Physician Services, INC.
Organization subpart
No
Enumeration date
Nov 4, 2010
Last updated
May 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–KYYes
207R00000X Internal Medicine–KY
363LF0000X Nurse Practitioner, Family––

Practice location

1816 Carter Ave
Ashland, KY 41101-7643

Phone 606-920-9595 · Fax 606-833-4668

Mailing address

Po Box 2155
Ashland, KY 41105-2155

Phone 877-214-4267 · Fax 606-833-4668

Authorized official

Troy Connett
Director Of Finance
6068333333

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