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Contact Information

TRI-STATE UROLOGY
255 CHURCH ST
STE. 202
PIKEVILLE, KY41501-3476
 Phone: 606-437-9550
 Fax: 606-437-9510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for TRI STATE UROLOGY · (Female)

NPI Number 1356494876
Status Active
Credentials
Entity Individual
Enumeration date 01/19/2007
Last updated 09/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 02625
  • KY Medicaid 1245238484
  • KY Medicaid 65935009
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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