East Kentucky Medical Group Psc

LBN: East Kentucky Medical Group Psc
East Kentucky Medical Group Psc is an health care organization with primary practice located at 50 Weddington Branch Rd Suite B, Pikeville KY 41501-3296. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. East Kentucky Medical Group Psc can be contacted via phone (606) 432-2172, or through Maynard, Lela C via phone (606) 432-2172.

Contact Information

Primary practice address
50 Weddington Branch Rd Suite B Pikeville KY 41501-3296
Phone: (606) 432-2172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maynard, Lela C Doctor of Medicine (MD)
Phone: (606) 432-2172

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1417123647
LBN Legal business name East Kentucky Medical Group Psc
DBA Doing business as
Authorized official Maynard, Lela C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417123647 NPPES
Kentucky MEDICAID 78904711

Popular Providers