Organization
LHC PHYSICIAN SERVICES OF WEST VIRGINIA, LLC
Active
Other names
Primary Care at Home of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
100 JOHN SUTHERLAND DR, SUITE 1, NICHOLASVILLE, KY 40356-2424
(859) 887-5433
(859) 887-5595
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
08/16/2016
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