Organization
TRINITY MEDICAL OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRO ALFREDO FORTICH M.D. (OWNER/PHYSICIAN)
(865) 212-2211
Entity
Organization
Contact information
Practice address
8712 NOTTING HILL WAY, KNOXVILLE, TN 37923-5912
(865) 212-2211
(626) 544-1629
Mailing address
8712 NOTTING HILL WAY, KNOXVILLE, TN 37923-5912
(865) 212-2211
(626) 544-1629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45681
KY
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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