# EASTERN KY BONE & JOINT SURGERY, PSC

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

## Provider details

- **NPI number:** 1770571713
- **Authorized official:** MR. JAMES STEVEN SHOCKEY M.D. (PRESIDENT ORTHOPAEDIC SURGEON)
- **Authorized official phone:** (606) 432-4111

## Contact information

- **Practice address:** 108 N AUXIER AVE, PIKEVILLE, KY 41501-9045
- **Practice address phone:** (606) 432-4111
- **Practice address fax:** (606) 432-4126
- **Mailing address:** 108 N AUXIER AVE, PIKEVILLE, KY 41501-9045
- **Mailing address phone:** (606) 432-4111
- **Mailing address fax:** (606) 432-4126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65906539 | — | KY |