East Kentucky Medical Group Psc
Nurse Practitioner, Family in Pikeville, KY. Organization (NPI-2).
NPI number1417123647
StatusActive
Last updated in NPPESMay 7, 2008
Details
- NPI
- 1417123647
- Entity type
- Organization (NPI-2)
- Legal business name
- East Kentucky Medical Group Psc
- Organization subpart
- No
- Enumeration date
- May 7, 2008
- Last updated
- May 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
50 Weddington Branch RdSuite B
Pikeville, KY 41501-3296
Phone 606-432-2172
Mailing address
50 Weddington Branch RdSuite B
Pikeville, KY 41501-3296
Phone 606-432-2172 · Fax 606-433-0143
Authorized official
Lela C Maynard
President
6064322172
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