# MEDICAL SERVICES OF KENTUCKY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376693788
- **Authorized official:** VINCENT MORRA (PRESIDENT AND CEO)
- **Authorized official phone:** (800) 377-8721

## Contact information

- **Practice address:** 625 JAMES TRIMBLE BLVD, PAINTSVILLE, KY 41240-1055
- **Practice address phone:** (606) 789-3511
- **Mailing address:** PO BOX 2078, HUNTINGTON, WV 25720-2078
- **Mailing address phone:** (800) 377-8721
- **Mailing address fax:** (304) 523-2241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 95900957 | — | KY |