Organization
MOREHEAD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS FOUCH (COO)
(859) 498-5243
Entity
Organization
Contact information
Practice address
130 NEWTOWNE SQ, MOREHEAD, KY 40351-2406
(606) 740-0986
(606) 780-9096
Mailing address
130 NEWTOWNE SQ, MOREHEAD, KY 40351-2406
(606) 740-0986
(606) 780-9096
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100979520
—
KY
Enumeration date
03/15/2023
Last updated
06/13/2024
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