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Individual

NICHOL B. BURCHFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
17401 KY HIGHWAY 80 E, ELKHORN CITY, KY 41522-8226
(606) 754-7100
(606) 754-0770
Mailing address
PO BOX 2122, PIKEVILLE, KY 41502-2122
(606) 422-4764
(606) 754-0770

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA559
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000637023
BCBS
KY
01
1629114707
EKAHC GROUP NPI
KY
01
7100146710
MEDICAID PRIMARY CARE GROUP NUMBER EKAHC
KY
05
95000733
KY
01
P00048501
RAILROAD MEDICARE
KY
Enumeration date
02/03/2007
Last updated
11/29/2023
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