Individual
JOHN L. PELLEGRINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 HOSPITAL RD, SUITE 1, WHITESBURG, KY 41858-7627
(606) 633-2255
(606) 633-3814
Mailing address
255 MAIN ST, P.O. BOX 983, WHITESBURG, KY 41858-7315
(606) 633-2261
(606) 633-9643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101035778
VA
208600000X
Surgery Physician
Primary
19935
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007358229
—
VA
05
—
64199359
—
KY
Enumeration date
09/15/2005
Last updated
12/10/2009
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