Organization
NES KENTUCKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE MARTIAL (DIRECTOR)
(800) 242-6711
Entity
Organization
Contact information
Practice address
901 WESTLAKE DR, COLUMBIA, KY 42728-1123
(270) 384-4753
Mailing address
PO BOX 503753, SAINT LOUIS, MO 63150-3753
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100175520
—
KY
Enumeration date
07/12/2011
Last updated
12/16/2011
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