Organization
PRESTONSBURG HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA JEAN HAZELTINE M.D. (INCORPORATOR)
(606) 886-3077
Entity
Organization
Contact information
Practice address
113 REGENCY PARK, PRESTONSBURG, KY 41653-9127
(606) 886-3077
(606) 886-3078
Mailing address
115 WALLEN DR, VAN LEAR, KY 41265-9045
(606) 886-3077
(606) 886-3078
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25775
KY
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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