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Organization

KENTUCKY ACCIDENT & INJURY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY L OTEHAM DO (OWNER/PROVIDER)
(606) 667-0101
Entity
Organization

Contact information

Practice address
504 NORTH HWY 27, SOMERSET, KY 42503-5706
(606) 667-0101
Mailing address
718 LAKE DRIVE LN, LA FOLLETTE, TN 37766-5706
(901) 230-1185

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/04/2020
Last updated
05/04/2020
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