# KENTUCKY ACCIDENT & INJURY CARE PLLC

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

## Provider details

- **NPI number:** 1457972283
- **Authorized official:** DR. LARRY L OTEHAM DO (OWNER/PROVIDER)
- **Authorized official phone:** (606) 667-0101

## Contact information

- **Practice address:** 504 NORTH HWY 27, SOMERSET, KY 42503-5706
- **Practice address phone:** (606) 667-0101
- **Mailing address:** 718 LAKE DRIVE LN, LA FOLLETTE, TN 37766-5706
- **Mailing address phone:** (901) 230-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 05/04/2020