Infectious Disease Associates of Southeastern Kentucky Psc

NPI #1417255514 in Hazard, Kentucky

Provider Information

NPI Number: 1417255514
Entity Type: Organization
Organization Name: Infectious Disease Associates of Southeastern Kentucky Psc
Primary Specialty: Specialist
Enumeration Date: Mar 14, 2011
Last Updated: Mar 16, 2011

Practice Location

Address: 200 MEDICAL CENTER DR
City: Hazard
State: Kentucky
ZIP Code: 41701-9466
Phone: (606) 439-0800

Authorized Official

Name: DR. BEKOE BERNDT OPOKU-OWUSU, M.D.
Title: OWNER
Phone: (606) 439-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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