| Buffalo Trace Gastroenterology Pllc | |
|
991 Medical Park Dr Ste 203 Maysville KY 41056-8728 | |
| (606) 759-5157 | |
| (606) 759-5582 |
| Full Name | Buffalo Trace Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 991 Medical Park Dr Ste 203, Maysville, Kentucky |
| Authorized Official Name and Position | Kami Jarrells (PRACTICE MANAGER) |
| Authorized Official Contact | 6067594869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Trace Gastroenterology Pllc 991 Medical Park Dr Ste 203 Maysville KY 41056-8728 Ph: (606) 759-5157 | Buffalo Trace Gastroenterology Pllc 991 Medical Park Dr Ste 203 Maysville KY 41056-8728 Ph: (606) 759-5157 |
| NPI Number | 1508971722 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508971722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 34725 (Kentucky) | Primary |
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