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Organization

OHIO VALLEY ENDOCRINOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YANCEY R HOLMES MD (OWNER)
(606) 375-3121
Entity
Organization

Contact information

Practice address
991 MEDICAL PARK DR, STE 207, MAYSVILLE, KY 41056-8764
(606) 759-0556
(606) 759-0662
Mailing address
991 MEDICAL PARK DR, STE 207, MAYSVILLE, KY 41056-8764
(606) 759-0556
(606) 759-0662

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000567584
ANTHEM BCBS
05
2879621
OH
01
324178
AMERIGROUP
OH
05
64051261
KY
05
7100050890
KY
01
94124
AETNA
Enumeration date
06/03/2008
Last updated
06/24/2016
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