Bellefonte Physician Services, Inc.

NPI #1780930560 in Russell, Kentucky

Provider Information

NPI Number: 1780930560
Entity Type: Organization
Organization Name: Bellefonte Physician Services, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Jul 30, 2012
Last Updated: Nov 13, 2018

Practice Location

Address: 1061 KENWOOD DR
City: Russell
State: Kentucky
ZIP Code: 41169-1527
Phone: (606) 833-6750

Authorized Official

Name: TROY CONNETT
Title: DIRECTOR OF FINANCE
Phone: (606) 833-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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