Organization
EASTERN KY. BONE & JOINT SURGERY,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE I. LAFFERTY RT(R) (OFFICE MANAGER)
(606) 432-4111
Entity
Organization
Contact information
Practice address
108 N AUXIER AVE, PIKEVILLE, KY 41501-9045
(606) 432-4111
(606) 432-4126
Mailing address
108 N AUXIER AVE, PIKEVILLE, KY 41501-9045
(606) 432-4111
(606) 432-4126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65906539
—
KY
Enumeration date
01/18/2007
Last updated
08/22/2020
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