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Licerio S Soto, MD
Specialist in Whitesburg, Kentucky
NPI 1487680757

Licerio S Soto is a Specialist based in Whitesburg, KY. Licerio S Soto practices in Whitesburg, KY and has the professional credentials of MD. The NPI Number for Licerio S Soto is 1487680757 and holds a License No. 23887 (Kentucky).

The current practice location address for Licerio S Soto is 240 Hospital Rd, Whitesburg, KY and can be reached out via phone at 606-633-3500 and via fax at 606-633-3652. You can also correspond with Licerio S Soto through the mailing address at 240 HOSPITAL RD, WHITESBURG, KY - 41858-7627 (mailing address contact number: 606-633-3500).

Location: 240 Hospital Rd, Whitesburg, KY, 41858-7627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487680757
Provider Name
Licerio S Soto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 Hospital Rd, Whitesburg, KY, 41858-7627
Phone Number
606-633-3500
Fax Number
606-633-3652
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64238876 05 KY
institution
Provider Business Practice Location Address Details
Address
240 Hospital Rd
City
Whitesburg
State
Kentucky
Zip
41858-7627
Phone Number
606-633-3500
Fax Number
606-633-3652
person
Provider Business Mailing Address Details
Address
240 Hospital Rd
City
Whitesburg
State
Kentucky
Zip
41858-7627
Phone Number
606-633-3500
Fax Number
606-633-3652
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
23887 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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