Individual
JYOTHI METTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Mailing address
387 TOWN MOUNTAIN RD, STE 108, PIKEVILLE, KY 41501-1640
(606) 437-4925
(606) 437-4930
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
21955
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003066000
—
WV
05
—
64219553
—
KY
Enumeration date
09/20/2005
Last updated
01/14/2015
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