Our Lady of the Way Hospital, INC

NPI #1255357364 in Martin, Kentucky

Provider Information

NPI Number: 1255357364
Entity Type: Organization
Organization Name: Our Lady of the Way Hospital, INC
Subpart: Yes (part of a larger organization)
Parent Organization: OUR LADY OF THE WAY HOSPITAL, INC
Primary Specialty: Family Medicine
Enumeration Date: Jul 14, 2006
Last Updated: May 15, 2009

Practice Location

Address: 11203 MAIN STREET
City: Martin
State: Kentucky
ZIP Code: 41649-0910
Phone: (606) 285-6400

Authorized Official

Name: MRS. KATHY STUMBO
Title: CEO
Phone: (606) 285-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Family Medicine	207Q00000X	Primary

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