Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Bellefonte Pediatrics, Ashland
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
2910 CARTER AVE, ASHLAND, KY 41101-1943
(606) 326-9001
(606) 326-9005
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4922
(606) 833-4668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100317920
—
KY
Enumeration date
09/10/2014
Last updated
05/17/2019
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