Organization
EASTERN KENTUCKY KIDNEY CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KASSAW A JOSEPH M.D. (PHYSICIAN/OWNER)
(606) 437-0662
Entity
Organization
Contact information
Practice address
141 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501-3204
(606) 437-0662
(606) 437-0618
Mailing address
PO BOX 2144, PIKEVILLE, KY 41502-2144
(606) 437-0662
(606) 437-0618
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
TP610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861453409
PERSONAL NPI
—
Enumeration date
11/09/2007
Last updated
02/18/2016
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