| East Ky Clinic | |
|
538 Main Street Paintsville KY 41240 | |
| (606) 789-6086 | |
| (606) 789-3811 |
| Full Name | East Ky Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 538 Main Street, Paintsville, Kentucky |
| Authorized Official Name and Position | Loey J. Kousa (MD) |
| Authorized Official Contact | 6067896086 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ky Clinic 538 Main St Paintsville KY 41240-1046 Ph: (606) 789-6086 | East Ky Clinic 538 Main Street Paintsville KY 41240 Ph: (606) 789-6086 |
| NPI Number | 1902147713 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 2062658768 |
|---|---|
| Medicare Enrollment ID | O20130425000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902147713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kitta Kousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558304915 PECOS PAC ID: 8527083856 Enrollment ID: I20051006000067 |
| Provider Name | Loey J Kousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427159318 PECOS PAC ID: 4587799739 Enrollment ID: I20100313000004 |
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