Tri State Nephrology Psc

NPI #1215085170 in Ashland, Kentucky

Provider Information

NPI Number
1215085170
Entity Type
Organization
Organization Name
Tri State Nephrology Psc
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 8, 2007
Last Updated
Jun 16, 2008

Practice Location

Address
432 16TH ST
Address 2
SUITE B
ZIP Code
41101-7693
Phone
(606) 329-9335

Authorized Official

Name
DONALD N HAMMONDS JR., DO
Title
PRESIDENT
Phone
(606) 329-9335

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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