East Kentucky Medical Group Psc

NPI #1417123647 in Pikeville, Kentucky

Provider Information

NPI Number
1417123647
Entity Type
Organization
Organization Name
East Kentucky Medical Group Psc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 7, 2008
Last Updated
May 7, 2008

Practice Location

Address
50 WEDDINGTON BRANCH RD
Address 2
SUITE B
ZIP Code
41501-3296
Phone
(606) 432-2172

Authorized Official

Name
DR. LELA C MAYNARD, MD
Title
PRESIDENT
Phone
(606) 432-2172

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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