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Richard T.c. Wan, M.d. ,psc
Preferred Provider Organization in Morgantown, Kentucky
NPI 1104996776

Richard T.c. Wan, M.d. ,psc is a Preferred Provider Organization based in Morgantown, KY. Richard T.c. Wan, M.d. ,psc practices in Morgantown, KY. The NPI Number for Richard T.c. Wan, M.d. ,psc is 1104996776 and holds a License No. 16599 (Kentucky).

The current practice location address for Richard T.c. Wan, M.d. ,psc is 101 W Roberts St, Morgantown, KY and can be reached out via phone at 270-526-3841 and via fax at 270-526-2651.

Location: 101 W Roberts St, Morgantown, KY, 42261-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104996776
Provider Name
Richard T.c. Wan, M.d. ,psc
Credential
Provider Entity Type
Organization
Address
101 W Roberts St, Morgantown, KY, 42261-0129
Phone Number
270-526-3841
Fax Number
270-526-2651
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65902033 05 KY
18DO326142 01 KY CLIA
000000045886 01 KY BCBS
institution
Provider Business Practice Location Address Details
Address
101 W Roberts St
City
Morgantown
State
Kentucky
Zip
42261-7942
Phone Number
270-526-3841
Fax Number
270-526-2651
person
Provider Business Mailing Address Details
Address
101 W Roberts St
City
Morgantown
State
Kentucky
Zip
42261-7942
Phone Number
270-526-3841
Fax Number
270-526-2651
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
16599 (Kentucky)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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