Organization · NPI-2
Bellefonte Physician Services, INC.
Internal Medicine, Rheumatology · Ashland, KY
NPI number1699027862
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1699027862
- Entity type
- Organization (NPI-2)
- Legal business name
- Bellefonte Physician Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 11, 2012
- Last updated
- May 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | – | – | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363A00000X | Physician Assistant | PA1692 | KY |
Other names
- Ashland Arthritis Center (Doing Business As)
Practice location
2930 Carter AveSte A
Ashland, KY 41101-1943
Phone 606-329-9712
Mailing address
Po Box 2155Ashland, KY 41105-2155
Phone 606-833-4922
Authorized official
Troy Connett
Director Of Finance
6068333333
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