Organization
EASTERN KENTUCKY FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CASTLE M.D. (SOLE MEMBER)
(606) 789-4255
Entity
Organization
Contact information
Practice address
713 BROADWAY ST, PAINTSVILLE, KY 41240-1465
(606) 789-4255
(606) 886-9908
Mailing address
P.O. BOX 1810, PRESTONSBURG, KENTUCKY 41653
(606) 886-0224
(606) 886-9908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100056750
—
KY
Enumeration date
09/09/2008
Last updated
05/04/2016
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