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EASTERN KY ALLERGY AND ASTHMA PLLC

Allergy

Martin, Kentucky

Provider NPI: 1285740175

Organization Information:
Organization Name:  EASTERN KY ALLERGY AND ASTHMA PLLC


Practice Location:
11021 MAIN ST  MARTIN, KY 41649 US
Tel: 606-285-9222  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X207KA0200XPhysicians
Allergy & Immunology
Allergy
KY36402
X207R00000XPhysicians
Internal Medicine
KY36402

Other Provider Identifiers:

IssuerNumberStateType
65944704KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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