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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 Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

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

NPI Number 1982879888
LBN Legal business name EASTERN KY CENTER FOR PLASTIC, RECONSTRUCTIVE & COSMETIC SURGERY
Authorized official MARY LU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 07/15/2010 - About 16 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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