Organization · Type 2 NPI

Pinelake Physician Practice LLC

Otolaryngology/Facial Plastic Surgery Physician · Mayfield, KY

NPI number 1255650479 Active

Practice location

1111 Medical Center Cir
Mayfield, KY 42066-1194

Call (270) 251-4080 Map

Fax (270) 251-4081

Mailing address

1029 Medical Center Cir
Mayfield, KY 42066-1189

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905XNone listed

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

26 other providers at this address

About NPI 1255650479

Pinelake Physician Practice LLC's National Provider Identifier is 1255650479, issued on May 27, 2010. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Mayfield, KY. The record was last updated on May 27, 2010.