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Individual

DAVID E BELLVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2025 CARTER AVE, ASHLAND, KY 41101-7731
(606) 408-4900
(606) 408-2749
Mailing address
2201 LEXINGTON AVE, PO BOX 1595, ASHLAND, KY 41101-2843
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002898
OH
363A00000X
Physician Assistant
683
WV
363A00000X
Physician Assistant
Primary
PA227
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95000659
KY
Enumeration date
12/22/2006
Last updated
12/01/2014
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