Individual
ERIC DOUGLAS ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 3RD ST, SUITE 180, HENDERSON, KY 42420-2993
(270) 827-3573
(270) 827-1250
Mailing address
2000 N ELM ST STE 1B, HENDERSON, KY 42420-2385
(270) 844-8144
(270) 844-8145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35996
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65913394
—
KY
Enumeration date
11/29/2006
Last updated
06/25/2013
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