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Individual

DR. DARYL SHELDON LARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5000 KY ROUTE 321, SUITE 2129, PRESTONSBURG, KY 41653-9113
(606) 889-6200
(606) 889-6201
Mailing address
PO BOX 406, PRESTONSBURG, KY 41653-0406
(606) 889-6200
(606) 889-6201

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101239676
VA
207X00000X
Orthopaedic Surgery Physician
Primary
42968
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64414691
KY
Enumeration date
05/17/2006
Last updated
09/25/2014
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