Organization
MOREHEAD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY FOUCH MD (OWNER)
(606) 740-0986
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
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
03/10/2022
Last updated
03/14/2022
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