Organization
COMMONWEALTH PAIN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDON COUGHTRY (PARTNER)
(502) 855-7200
Entity
Organization
Contact information
Practice address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 260-8613
(859) 977-2683
Mailing address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 260-8613
(859) 977-2683
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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