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Kentucky Em-I Medical Services, Psc

Emergency Medicine in Prestonsburg, KY. Organization (NPI-2).

NPI number1861691057
StatusActive
Last updated in NPPESJul 17, 2007

Details

NPI
1861691057
Entity type
Organization (NPI-2)
Legal business name
Kentucky Em-I Medical Services, Psc
Organization subpart
No
Enumeration date
Jul 17, 2007
Last updated
Jul 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Phone 606-886-8511

Mailing address

Po Box 42966
Philadelphia, PA 19101-2966

Phone 800-355-0808 · Fax 610-834-2862

Authorized official

Jennifer Provasnik
Supervisor Of Provider Enrollment
8003550808

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