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Contact Information

PURCHASE GASTROENTEROLOGY ASSOCIATES PSC
1029 MEDICAL CENTER CIRCLE
STE 306
MAYFIELD, KY42066
 Phone: 270-251-4575
 Fax: 270-251-4577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PURCHASE GASTROENTEROLOGY ASSOCIATES PSC · (Female)

NPI Number 1639131246
Status Active
Credentials
Entity Individual
Enumeration date 04/06/2006
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 3004998
  • KY License # 3005111
  • KY License # 30255
  • KY License # 41420
  • KY Medicaid 65943284
  • KY Medicaid 7100234660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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