Physician Management Services of Southeast Ohio, LLC

NPI #1104381920 in Carlisle, Ohio

Provider Information

NPI Number: 1104381920
Entity Type: Organization
Organization Name: Physician Management Services of Southeast Ohio, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2019
Last Updated: Apr 27, 2022

Practice Location

Address: 300 BUSINESS PKWY
City: Carlisle
State: Ohio
ZIP Code: 45005-6331
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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