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Organization

PIKEVILLE MEDICAL CENTER INC

Active
Other names
Professional Medical Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY HARRIS (CFO)
(606) 218-3500
Entity
Organization

Contact information

Practice address
1500 MAIN STREET, INEZ, KY 41224
(606) 218-3500
(606) 218-4560
Mailing address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
(606) 218-4560

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01012251
KY
01
730055
STATE LICENSE #
KY
Enumeration date
05/05/2006
Last updated
03/13/2009
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