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Organization

ERTEL MEDICINE & PEDIATRICS, PSC

Active
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Organization

ERTEL MEDICINE & PEDIATRICS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY ERTEL M.D. (OWNER)
(859) 744-0067
Entity
Organization

Contact information

Practice address
1520 BOONESBORO RD, WINCHESTER, KY 40391-8816
(859) 744-0067
(859) 744-0042
Mailing address
1520 BOONESBORO RD, WINCHESTER, KY 40391-8816
(859) 744-0067
(859) 744-0042

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35650
KY
208000000X
Pediatrics Physician
261QR1300X
Rural Health Clinic/Center
Primary
900132
KY

Other

Enumeration date
06/25/2006
Last updated
08/22/2014
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