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Pinelake Physician Practice Llc
Otolaryngology/Facial Plastic Surgery Physician in Mayfield, Kentucky
NPI 1255650479

Pinelake Physician Practice Llc is a Otolaryngology/Facial Plastic Surgery Physician based in Mayfield, KY and is specialized in Otolaryngology/Facial Plastic Surgery. Pinelake Physician Practice Llc practices in Mayfield, KY. The NPI Number for Pinelake Physician Practice Llc is 1255650479 and holds a License No. (Kentucky).

The current practice location address for Pinelake Physician Practice Llc is 1111 Medical Center Cir, Mayfield, KY and can be reached out via phone at 270-251-4080 and via fax at 270-251-4081.

Location: 1111 Medical Center Cir, Mayfield, KY, 42066-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255650479
Provider Name
Pinelake Physician Practice Llc
Credential
Provider Entity Type
Organization
Address
1111 Medical Center Cir, Mayfield, KY, 42066-1189
Phone Number
270-251-4080
Fax Number
270-251-4081
Provider Enumeration Date
05/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 Medical Center Cir
City
Mayfield
State
Kentucky
Zip
42066-1194
Phone Number
270-251-4080
Fax Number
270-251-4081
person
Provider Business Mailing Address Details
Address
1111 Medical Center Cir
City
Mayfield
State
Kentucky
Zip
42066-1194
Phone Number
270-251-4080
Fax Number
270-251-4081
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
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Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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