Sue Ellen Petty is a Surgery in Princeton, Kentucky. Sue Ellen Petty practices all healthcare services and medical treatments related to Surgery. The NPI Number for Sue Ellen Petty is 1477622181. The last update date is 2017-11-29.
Sue Ellen Petty's current location address is Po Box 410, Princeton, Kentucky. You can contact this provider via phone number 2703650320 and fax number 2703654150. The mailing address for Sue Ellen Petty is Po Box 410, Princeton, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ellen Petty |
|---|---|
| Address | Po Box 410, Princeton, Kentucky |
| Phone Number | 2703650320 |
| Fax Number | 2703654150 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477622181 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2017-11-29 |
Provider Mailing Address Detail
| Address | Po Box 410 |
|---|---|
| City | Princeton |
| State | Kentucky (KY) |
| Post Code | 42445 |
| Phone Number | 2703650320 |
| Fax Number | 2703654150 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 34383 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64343833 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sue Ellen Petty by the Centers for Medicare & Medicaid Services?
The Sue Ellen Petty has been issued the NPI (National Provider Identifier) 1477622181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sue Ellen Petty's facilities are geographically located?
The facilities of Sue Ellen Petty are physically situated at the following location: Po Box 410, Princeton, KY, 42445.
What is Sue Ellen Petty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sue Ellen Petty is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
On what date did the Sue Ellen Petty receive the assignment of its 1477622181 from the Centers for Medicare & Medicaid Services?
The Sue Ellen Petty was issued its 1477622181 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the details pertaining to Sue Ellen Petty last refreshed?
The information related to the Sue Ellen Petty, including its address, specialty, and other relevant details, was last updated on 2017-11-29.
NPI Number: 1215930425
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