Individual
JOSHUA TIMOTHY MINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5000 KY ROUTE 321 STE 3141, PRESTONSBURG, KY 41653-9113
(606) 889-6370
(606) 263-5654
Mailing address
PO BOX 406, PRESTONSBURG, KY 41653-0406
(606) 889-6370
(606) 263-5654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03834
KY
207R00000X
Internal Medicine Physician
R3277
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100324600
—
KY
Enumeration date
04/18/2013
Last updated
04/04/2018
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