Organization
KENTUCKY INTERVENTIONAL SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK PELLANT DO (SOLE OWNER)
(859) 238-7746
Entity
Organization
Contact information
Practice address
236 W MAIN ST, SUITE 203, DANVILLE, KY 40422-1876
(859) 238-7746
Mailing address
236 W MAIN ST, SUITE 203, DANVILLE, KY 40422-1876
(859) 238-7746
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
TP236
KY
Other
Enumeration date
09/23/2008
Last updated
12/14/2011
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