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Organization

BELLEFONTE PHYSICIAN SERVICES, INC.

Active
Other names
Bellefonte Foot Care
Organization subpart
No

Provider details

NPI number
Authorized official
TROY CONNETT (DIRECTOR OF FINANCE)
(606) 833-3333
Entity
Organization

Contact information

Practice address
1000 ASHLAND DR, STE. 104, ASHLAND, KY 41101-7084
(606) 833-6260
(606) 833-6261
Mailing address
PO BOX 2155, ASHLAND, KY 41105-2155
(606) 833-3333
(606) 833-4668

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000674877
ANTHEM BCBS
KY
05
3112143
OH
05
7100131520
KY
Enumeration date
08/03/2010
Last updated
05/17/2019
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