Bellefonte Physician Services, Inc.
Organization Active NPI Pediatrics Physician · Russell, KY
NPI 1780930560 · NPPES record last updated Nov 13, 2018
Key facts
- NPI
- 1780930560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- BELLEFONTE PHYSICIAN SERVICES, INC.
- Practice address
- 1061 Kenwood Dr
Russell, KY 41169-1527 - Phone
- (606) 833-6750
- NPI assigned
- Jul 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Troy Connett
- Title
- Director of Finance
- Phone
- (606) 833-3333
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1061 Kenwood Dr
Russell, KY 41169-1527
Mailing address
PO Box 2155
Ashland, KY 41105-2155
Phone (606) 833-4922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100222090 | Medicaid | KY |
Other names
- Bellefonte Pediatrics Russell
Other providers in Russell, KY
- Appalachian Healing Network
- Appalachian Healthworks LLC
- Ashland Hospital Coporation
- Ashland Medical Group
- Bellefonte Family Dental Care, PSC
- Tiffany Blanton
- Brittany Block
- Bodyworx Physical Therapy & Chiropractic Wellness Center PLLC
- Bodyworx Spine & Chiropractic PLLC
- Kelli Brown
All providers in Russell, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.