East Ky Health Service Center

NPI #1376648139 in Hindman, Kentucky

Provider Information

NPI Number: 1376648139
Entity Type: Organization
Organization Name: East Ky Health Service Center
Primary Specialty: Nurse Practitioner - Primary Care
Enumeration Date: Sep 14, 2006
Last Updated: Jun 10, 2021

Practice Location

Address: 566 HIGHWAY 899
City: Hindman
State: Kentucky
ZIP Code: 41822-0849
Phone: (606) 785-3164

Authorized Official

Name: DR. BENNY RAY BAILEY, PH.D.
Title: EXECUTIVE DIRECTOR
Phone: (606) 785-3164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X	Primary

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