institution
Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery
Medical Specialty Clinic/Center in Pikeville, Kentucky
NPI 1982879888

Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery is a Medical Specialty Clinic/Center based in Pikeville, KY and is specialized in Medical Specialty. Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery practices in Pikeville, KY. The NPI Number for Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery is 1982879888 and holds a License No. (Kentucky).

The current practice location address for Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery is 126 Trivette Dr, Pikeville, KY and can be reached out via phone at 606-432-0061 and via fax at 606-432-0095.

Location: 126 Trivette Dr, Pikeville, KY, 41502-2257
institution
Provider Profile Details
NPI Number
1982879888
Provider Name
Eastern Ky Center For Plastic, Reconstructive & Cosmetic Surgery
Credential
Provider Entity Type
Organization
Address
126 Trivette Dr, Pikeville, KY, 41502-2257
Phone Number
606-432-0061
Fax Number
606-432-0095
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64256423 05 KY
0114191000 01 KY WV MEDICAID
1532903 01 KY UMWA
000000051790 01 KY BC/BS
240005992 01 KY R/R MEDICARE
institution
Provider Business Practice Location Address Details
Address
126 Trivette Dr
City
State
Zip
41501-1275
Phone Number
606-432-0061
Fax Number
606-432-0095
person
Provider Business Mailing Address Details
Address
126 Trivette Dr
City
State
Zip
41501-1275
Phone Number
606-432-0061
Fax Number
606-432-0095
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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