Organization
BUFFALO TRACE GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAMI JARRELLS (PRACTICE MANAGER)
(606) 759-4869
Entity
Organization
Contact information
Practice address
991 MEDICAL PARK DR STE 203, MAYSVILLE, KY 41056-8728
(606) 759-5157
(606) 759-5582
Mailing address
991 MEDICAL PARK DR STE 203, MAYSVILLE, KY 41056-8728
(606) 759-5157
(606) 759-5582
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34725
KY
Other
Enumeration date
08/20/2006
Last updated
04/02/2008
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