Organization
BELLEFONTE PHYSICIAN SERVICES, INC.
Active
Other names
Advanced Pain Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization
Contact information
Practice address
1101 SAINT CHRISTOPHER DR, STE 200, ASHLAND, KY 41101-7087
(606) 833-6210
(606) 833-6213
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-4922
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593207
ANTHEM BCBS
KY
05
—
2882886
—
OH
05
—
7100060510
—
KY
05
—
7100075470
—
KY
05
—
7100316900
—
KY
Enumeration date
10/28/2008
Last updated
05/17/2019
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