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Buffalo Trace Ear, Nose & Throat Center
Specialist in Maysville, Kentucky
NPI 1871673046

Buffalo Trace Ear, Nose & Throat Center is a Specialist based in Foster, KY. Buffalo Trace Ear, Nose & Throat Center practices in Maysville, KY. The NPI Number for Buffalo Trace Ear, Nose & Throat Center is 1871673046 and holds a License No. 34006187S (Kentucky).

The current practice location address for Buffalo Trace Ear, Nose & Throat Center is 1925 Old Main St, Maysville, KY and can be reached out via phone at 606-759-5286 and via fax at 606-759-5773.

Location: 1925 Old Main St, Maysville, KY, 41043-9271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871673046
Provider Name
Buffalo Trace Ear, Nose & Throat Center
Credential
Provider Entity Type
Organization
Address
1925 Old Main St, Maysville, KY, 41043-9271
Phone Number
606-759-5286
Fax Number
606-759-5773
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000050862 01 KY ANTHEM ID NUMBER
64024201 05 KY
0986107 05 OH
institution
Provider Business Practice Location Address Details
Address
1925 Old Main St
City
Maysville
State
Kentucky
Zip
41056-8984
Phone Number
606-759-5286
Fax Number
606-759-5773
person
Provider Business Mailing Address Details
Address
1925 Old Main St
City
Maysville
State
Kentucky
Zip
41056-8984
Phone Number
606-759-5286
Fax Number
606-759-5773
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34006187S (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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