East Kentucky Medical Group Psc in Pikeville - Family

East Kentucky Medical Group Psc - NPI 1417123647

East Kentucky Medical Group Psc is a Family in Pikeville, Kentucky. East Kentucky Medical Group Psc practices all healthcare services and medical treatments related to Family. The NPI Number for East Kentucky Medical Group Psc is 1417123647. The last update date is 2008-05-07.

East Kentucky Medical Group Psc's current location address is 50 Weddington Branch Rd, Pikeville, Kentucky. You can contact this provider via phone number 6064322172 and fax number 6064330143. The mailing address for East Kentucky Medical Group Psc is 50 Weddington Branch Rd, Pikeville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Kentucky Medical Group Psc
Address 50 Weddington Branch Rd, Pikeville, Kentucky
Phone Number 6064322172
Fax Number 6064330143
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Maynard C Lela
Credentials MD
Telephone Number 6064322172

NPI Number Detail

NPI Number 1417123647
Provider Enumeration Date 2008-05-07
Last Updated Date 2008-05-07

Provider Mailing Address Detail

Address 50 Weddington Branch Rd
City Pikeville
State Kentucky (KY)
Post Code 415013296
Phone Number 6064322172
Fax Number 6064330143

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
78904711 KY --

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FAQs about East Kentucky Medical Group Psc

What is the unique 10-digit identification code issued to East Kentucky Medical Group Psc by the Centers for Medicare & Medicaid Services?

The East Kentucky Medical Group Psc has been assigned the NPI (National Provider Identifier) 1417123647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where East Kentucky Medical Group Psc is located?

The East Kentucky Medical Group Psc is situated at the following address: 50 Weddington Branch Rd, Pikeville, KY, 415013296.

What is East Kentucky Medical Group Psc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for East Kentucky Medical Group Psc is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.

When was the East Kentucky Medical Group Psc's 1417123647 issued?

The East Kentucky Medical Group Psc's 1417123647 was issued on 2008-05-07.

As of what date was the information pertaining to East Kentucky Medical Group Psc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to East Kentucky Medical Group Psc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-07.

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