Organization
APPALACHIAN ORTHOPEDIC & SPINE CTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUKUT SHARMA MD (MD OWNER SOLO PRACTICE)
(606) 487-0888
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, #2-I, HAZARD, KY 41701-9466
(606) 487-0888
(606) 487-0890
Mailing address
200 MEDICAL CENTER DR, #2-I, HAZARD, KY 41701-9466
(606) 487-0888
(606) 487-0890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34715
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6593482000
—
KY
Enumeration date
09/06/2006
Last updated
08/22/2020
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