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Organization
EAST KENTUCKY MEDICAL ASSOCIATES
Active
Organization
EAST KENTUCKY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R HAGER DO (CEO)
(606) 218-6077
Entity
Organization
Contact information
Practice address
255 CHURCH ST STE 102B, PIKEVILLE, KY 41501-3476
(606) 218-6077
(606) 218-6082
Mailing address
PO BOX 1433, PIKEVILLE, KY 41502-1433
(606) 218-6077
(606) 218-6082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
10/11/2019
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