Betsy Layne Primary Care, Pllc | |
387 Town Mountain Rd Ste 203 Pikeville KY 41501-1642 | |
(606) 899-2273 | |
Not Available |
Full Name | Betsy Layne Primary Care, Pllc |
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Speciality | Clinic/Center |
Location | 387 Town Mountain Rd Ste 203, Pikeville, Kentucky |
Authorized Official Name and Position | Loren Kidd (OWNER/PROVIDER) |
Authorized Official Contact | 6066816859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Betsy Layne Primary Care, Pllc Po Box 203 Betsy Layne KY 41605-0203 Ph: (606) 681-6859 | Betsy Layne Primary Care, Pllc 387 Town Mountain Rd Ste 203 Pikeville KY 41501-1642 Ph: (606) 899-2273 |
NPI Number | 1831601699 |
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Provider Enumeration Date | 11/01/2017 |
Last Update Date | 08/31/2021 |
Medicare PECOS PAC ID | 7416219605 |
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Medicare Enrollment ID | O20180328001684 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831601699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Loren Kidd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518356377 PECOS PAC ID: 0547573834 Enrollment ID: I20150715001497 |
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