Organization
INTERNAL MEDICINE OF EASTERN KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY C STUMBO MD (PHYSICIAN)
(606) 886-7645
Entity
Organization
Contact information
Practice address
5000 KY RT 321, SUITE 3102, PRESTONBURG, KY 41653
(606) 886-7645
(606) 886-7427
Mailing address
5000 KY RT 321, SUITE 3102, PRESTONBURG, KY 41653
(606) 886-7645
(606) 886-7427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
10/25/2006
Last updated
04/12/2016
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