# OHIO VALLEY ENDOCRINOLOGY INC

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

## Provider details

- **NPI number:** 1568621878
- **Authorized official:** YANCEY R HOLMES MD (OWNER)
- **Authorized official phone:** (606) 375-3121

## Contact information

- **Practice address:** 991 MEDICAL PARK DR, STE 207, MAYSVILLE, KY 41056-8764
- **Practice address phone:** (606) 759-0556
- **Practice address fax:** (606) 759-0662
- **Mailing address:** 991 MEDICAL PARK DR, STE 207, MAYSVILLE, KY 41056-8764
- **Mailing address phone:** (606) 759-0556
- **Mailing address fax:** (606) 759-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000567584 | ANTHEM BCBS | — |
| 05 | — | 2879621 | — | OH |
| 01 | — | 324178 | AMERIGROUP | OH |
| 05 | — | 64051261 | — | KY |
| 05 | — | 7100050890 | — | KY |
| 01 | — | 94124 | AETNA | — |