| NPI | 1487600615 |
|---|---|
| Doing Business As | PEDIATRIC ASSOCIATES OF HAZARD |
| Entity Type | Organization |
| Authorized Contact | DJIEN HWAT SO Administrator 606-487-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: KY 900138) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006127) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-03-27 |