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AFFINITY HEALTH CARE PSC

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

Provider NPI: 1255788725

Organization Information:
Organization Name:  AFFINITY HEALTH CARE PSC
Organization is not Subpart
Authorized Official:  MELISSA  CALLAHAN  OFFICER/AUTHORIZED REPRESENTATIVE  606-672-1978

Practice Location:
22055 MAIN ST  HYDEN, KY 41749-8568 US
Tel: 606-672-1978  Fax: --

Business Mailing Address:
22055 MAIN ST  HYDEN, KY 41749-8568 US
Tel: 606-672-1978  Fax: --

NPI Information:
NPI: 1255788725
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
KYPA1086
Y261QP2300XAmbulatory Health Care Facilities
Clinic/Center
KY

Other Provider Identifiers:

IssuerNumberStateType
7100415020KY05
7100422110KY05



American Medical Association 2012 taxonomy code information

Code: 261QP2300X

Type:

Classification:



Definition:



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