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Contact Information

LARRIETTA L ELLIOTTE, PA-C
1 TRILLIUM WAY
CORBIN, KY40701
 Phone: 606-526-4449
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LARRIETTA L ELLIOTTE · (Female)

NPI # 1144696907
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/17/2015
Last updated 12/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # PA2027
  • KY Medicaid 7100379340
  • KY Other P01520253 RR MEDICARE
Hospital affiliation(s)
  • BAPTIST REGIONAL MEDICAL CENTER - (Acute Care)
    ONE TRILLIUM WAY
    CORBIN, KY 40701
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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