Individual
LICERIO S SOTO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-3500
(606) 633-3652
Mailing address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-3500
(606) 633-3652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64238876
—
KY
Enumeration date
06/25/2006
Last updated
07/08/2007
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