| NPI | 1043611015 |
|---|---|
| Doing Business As | BELLEFONTE PEDIATRICS, ASHLAND |
| Entity Type | Organization |
| Authorized Contact | TROY CONNETT Director Of Finance 606-833-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2019-05-17 |