Physician Management Services of Eastern Kentucky, LLC

NPI #1144744301 in Glasgow, Kentucky

Provider Information

NPI Number: 1144744301
Entity Type: Organization
Organization Name: Physician Management Services of Eastern Kentucky, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Jul 31, 2017
Last Updated: Apr 27, 2021

Practice Location

Address: 211 PROFESSIONAL PARK DR
City: Glasgow
State: Kentucky
ZIP Code: 42141-3486
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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