Individual
JOSE ECHEVERRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Mailing address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32446
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64324460
—
KY
Enumeration date
08/22/2005
Last updated
07/22/2011
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