Our Lady of the Way

NPI #1588717185 in Martin, Kentucky

Provider Information

NPI Number: 1588717185
Entity Type: Organization
Organization Name: Our Lady of the Way
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 19, 2007
Last Updated: Nov 1, 2007

Practice Location

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

Authorized Official

Name: MRS. RUTH SHELTON
Title: DIRECTOR BUSINESS OFFICE
Phone: (606) 285-6601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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