Bellefonte Physician Services, INC.
Family Medicine in Grayson, KY. Organization (NPI-2).
NPI number1710123328
StatusActive
Last updated in NPPESMay 20, 2019
Details
- NPI
- 1710123328
- Entity type
- Organization (NPI-2)
- Legal business name
- Bellefonte Physician Services, INC.
- Organization subpart
- No
- Enumeration date
- Jan 2, 2009
- Last updated
- May 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Bellefonte Primary Care, Grayson (Doing Business As)
Practice location
100 Bellefonte DrGrayson, KY 41143-1820
Phone 606-474-0669
Mailing address
Po Box 2155Ashland, KY 41105-2155
Phone 877-214-4267
Authorized official
Troy Connett
Director Of Finance
6068333333
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