Organization
EAST KY PULMONARY & SLEEP DISORDER CTR.
Active
Organization
EAST KY PULMONARY & SLEEP DISORDER CTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS AMMISETTY MD (PRESIDENT)
(606) 478-1005
Entity
Organization
Contact information
Practice address
9350 US HWY 23 SOUTH, SUITE 104, STANVILLE, KY 41659
(606) 478-1005
(606) 478-8687
Mailing address
PO BOX 70, STANVILLE, KY 41659-0070
(606) 478-1005
(606) 478-8687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35594
KY
207RP1001X
Pulmonary Disease Physician
Primary
35594
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35594
KY
Other
Enumeration date
01/25/2007
Last updated
06/25/2008
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