# EAST KENTUCKY MEDICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1508411828
- **Authorized official:** JAMES R HAGER DO (CEO)
- **Authorized official phone:** (606) 218-6077

## Contact information

- **Practice address:** 255 CHURCH ST STE 102B, PIKEVILLE, KY 41501-3476
- **Practice address phone:** (606) 218-6077
- **Practice address fax:** (606) 218-6082
- **Mailing address:** PO BOX 1433, PIKEVILLE, KY 41502-1433
- **Mailing address phone:** (606) 218-6077
- **Mailing address fax:** (606) 218-6082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2019
- **Last updated:** 10/11/2019