Tri State Nephrology Psc

NPI 1215085170 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1215085170
Enumeration Date 01/08/2007
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONALD N DONALD
Position PRESIDENT
Phone (606) 329-9335
Fax (606) 324-6383
Practice Location
432 16TH ST
SUITE B
ASHLAND KY, 41101-7693, US
Phone (606) 329-9335
Fax (606) 324-6383
Business Location
PO BOX 2468
ASHLAND KY, 41105-2468, US
Phone (606) 329-9335
Fax (606) 324-6383
Toxanomy
Taxonomy Code 363L00000X
License State Kentucky
License Number 4797P
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According to our database, Tri State Nephrology Psc NPI is 1215085170, taxonomy code is 363L00000X and license number is 4797P, license state is located at Kentucky. Tri State Nephrology Psc physically located at 432 16th St, Ashland KY, 41101-7693. NPI Number 1033115704 has the healthcare provider type.

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1215085170 NPI number is provided on an as is basis without warranty of any kind. 1215085170 is maintained by the National Plan & Provider Enumeration System. The contents of Tri State Nephrology Psc are for informational purposes only.