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Organization

MT STERLING PEDIATRICS

Active
Other names
Morehead Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDY B FOUCH M.D. (OWNER)
(859) 498-5243
Entity
Organization

Contact information

Practice address
130 NEW TOWNE SQUARE, MOREHEAD, KY 40351
(606) 740-0986
(606) 780-9096
Mailing address
PO BOX 1347, MT STERLING, KY 40353-5347
(859) 498-5243
(859) 498-5396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
Primary
363A00000X
Physician Assistant
363LP0200X
Pediatric Nurse Practitioner
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100337060
KY
05
7100338390
KY
05
7100377630
KY
Enumeration date
11/17/2014
Last updated
10/14/2020
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