Organization
KENTUCKY LUNG CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRAS KOURA MD (PRESIDENT)
(606) 487-1818
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, STE. 2M, HAZARD, KY 41701-9466
(606) 487-1818
(606) 487-8448
Mailing address
200 MEDICAL CENTER DR, STE. 2M, HAZARD, KY 41701-9466
(606) 487-1818
(606) 487-8448
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/31/2006
Last updated
12/27/2013
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