Organization
MEDICAL SERVICES OF KENTUCKY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MORRA (PRESIDENT AND CEO)
(800) 377-8721
Entity
Organization
Contact information
Practice address
625 JAMES TRIMBLE BLVD, PAINTSVILLE, KY 41240-1055
(606) 789-3511
Mailing address
PO BOX 2078, HUNTINGTON, WV 25720-2078
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95900957
—
KY
Enumeration date
01/11/2007
Last updated
06/04/2008
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