Organization
PINEVILLE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN COUCH (CONTROLLER)
(606) 337-3051
Entity
Organization
Contact information
Practice address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-3051
(606) 337-2871
Mailing address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-3051
(606) 337-2871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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