Individual
PATRICE BELIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 864-0770
(606) 864-1461
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64328354
—
KY
Enumeration date
05/05/2006
Last updated
05/06/2019
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