National Provider Identifier Database

EASTERN KY CENTER FOR PLASTIC RECONSTRUCTIVE COSMETIC SURGERY
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
126 TRIVETTE DR
SUITE 201
PIKEVILLE, KY41501-1275
Phone: 606-432-0061
Fax: 606-432-0095
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY

NPI Number 1982879888
Legal business name
LBN
EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
Authorized official MARY LU - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/23/2008
Last updated 07/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 64256423
  • KY Other: 000000051790 BC/BS
  • KY Other: 240005992 R/R MEDICARE
  • KY Other: 1532903 UMWA
  • KY Other: 0114191000 WV MEDICAID

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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