Individual
FRANCIS J PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 MEDICAL LANE, SOUTH FORK MEDICAL CLINIC, WHITLEY CITY, KY 42653-0071
(606) 376-7212
(606) 376-7216
Mailing address
71 MEDICAL LN, PO BOX 250, WHITLEY CITY, KY 42653-4216
(606) 376-7212
(606) 376-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3332230
—
TN
05
—
64004542
—
KY
Enumeration date
06/07/2006
Last updated
11/22/2016
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