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Organization

LEEDHANACHOKE & CASSADY, P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OON LEEDHANACHOKE M.D. (PRESIDENT)
(606) 437-6698
Entity
Organization

Contact information

Practice address
387 TOWN MOUNTAIN RD STE 207, PIKEVILLE, KY 41501-1642
(606) 437-6698
(606) 432-5502
Mailing address
PO BOX 3369, PIKEVILLE, KY 41502-3369
(606) 437-6698
(606) 432-5502

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20275
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64274814
KY
Enumeration date
04/18/2007
Last updated
08/22/2020
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