# BELL CLINIC PLLC

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

## Provider details

- **NPI number:** 1790935997
- **Authorized official:** GEETA CHAVDA M.D. (OWNER)
- **Authorized official phone:** (270) 265-2575

## Contact information

- **Practice address:** 105 ELK FORK RD, ELKTON, KY 42220-0000
- **Practice address phone:** (270) 265-2575
- **Practice address fax:** (270) 265-3098
- **Mailing address:** PO BOX 187, ELKTON, KY 42220-0187
- **Mailing address phone:** (270) 265-2575
- **Mailing address fax:** (270) 265-3098

## Taxonomy

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

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 08/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00819 | MEDICARE PTAN | KY |
| 01 | — | 18D0953137 | CLIA | KY |