Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Ashland Arthritis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
2930 CARTER AVE, STE A, ASHLAND, KY 41101-1943
(606) 329-9712
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4922
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
363A00000X
Physician Assistant
PA1692
KY
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100225420
—
KY
05
—
7100251230
—
KY
01
—
DN8303
RAILROAD MEDICARE
KY
Enumeration date
10/11/2012
Last updated
05/17/2019
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