Organization
ACE CLINIQUE OF MEDICINE
Active
Other names
Ace Clinique of Medicine/Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A CHANEY M.D. (EXECUTIVE DIRECTOR)
(606) 439-6503
Entity
Organization
Contact information
Practice address
181 ROY CAMPBELL DRIVE, HAZARD, KY 41701-0000
(606) 439-6503
(606) 439-6503
Mailing address
PO BOX 2008, HAZARD, KY 41702-2008
(606) 439-6503
(606) 439-6503
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
28914
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28914
MEDICAL LICENSE NUMBER
KY
05
—
64289143
—
KY
Enumeration date
07/18/2006
Last updated
08/22/2020
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