# INFECTIOUS DISEASE ASSOCIATES OF SOUTHEASTERN KENTUCKY PSC

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

## Provider details

- **NPI number:** 1417255514
- **Authorized official:** DR. BEKOE BERNDT OPOKU-OWUSU M.D. (OWNER)
- **Authorized official phone:** (606) 439-0800

## Contact information

- **Practice address:** 200 MEDICAL CENTER DR, HAZARD, KY 41701-9466
- **Practice address phone:** (606) 439-0800
- **Practice address fax:** (606) 439-6773
- **Mailing address:** PO BOX 1448, HAZARD, KY 41702-1448
- **Mailing address phone:** (606) 439-0800
- **Mailing address fax:** (606) 439-6773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 40016 | KY | Yes |

## Other

- **Enumeration date:** 03/14/2011
- **Last updated:** 03/16/2011