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East Ky Health Service Center
Primary Care Nurse Practitioner in Hindman, Kentucky
NPI 1376648139

East Ky Health Service Center is a Primary Care Nurse Practitioner based in Hindman, KY and is specialized in Primary Care. East Ky Health Service Center practices in Hindman, KY. The NPI Number for East Ky Health Service Center is 1376648139 and holds a License No. 6629 (Kentucky).

The current practice location address for East Ky Health Service Center is 566 Highway 899, Hindman, KY and can be reached out via phone at 606-785-3164 and via fax at 606-785-0107.

Location: 566 Highway 899, Hindman, KY, 41822-0849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376648139
Provider Name
East Ky Health Service Center
Credential
Provider Entity Type
Organization
Address
566 Highway 899, Hindman, KY, 41822-0849
Phone Number
606-785-3164
Fax Number
606-785-0107
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65924300 05 KY
institution
Provider Business Practice Location Address Details
Address
566 Highway 899
City
Hindman
State
Kentucky
Zip
41822-0849
Phone Number
606-785-3164
Fax Number
606-785-0107
person
Provider Business Mailing Address Details
Address
566 Highway 899
City
Hindman
State
Kentucky
Zip
41822-0849
Phone Number
606-785-3164
Fax Number
606-785-0107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3008325 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
700002 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
6629 (Kentucky)
Definition
Definition to come...
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