Individual
DR. MAURICE MICHAEL TRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9783 META HWY, PIKEVILLE, KY 41501-4747
(606) 631-0057
Mailing address
9783 META HWY, PIKEVILLE, KY 41501-4747
(606) 631-0057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64312614
—
KY
Enumeration date
10/26/2006
Last updated
05/29/2008
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