Primary Care Centers of Eastern Kentucky, LLC

NPI #1598930026 in Hazard, Kentucky

Provider Information

NPI Number: 1598930026
Entity Type: Organization
Organization Name: Primary Care Centers of Eastern Kentucky, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2008
Last Updated: Apr 25, 2008

Practice Location

Address: 145 CITIZENS LN
Address 2: SUITE B
City: Hazard
State: Kentucky
ZIP Code: 41701-1320
Phone: (606) 439-1300

Authorized Official

Name: MR. BARRY K MARTIN
Title: CEO
Phone: (606) 439-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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