Organization
KNOTT COUNTY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DAVIS PA-C (PROVIDER)
(606) 785-4645
Entity
Organization
Contact information
Practice address
70 HOLLY HILLS MALL RD, HINDMAN, KY 41822-9121
(606) 785-4645
Mailing address
PO BOX 755, HINDMAN, KY 41822-0755
(606) 785-4645
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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