ENTLC PSC NPI 1124217765

NPI Details

ENTLC, PSC is an otolaryngology in Maysville, KY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENTLC, PSC NPI is 1124217765. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

491 TUCKER DR
MAYSVILLE, KY
ZIP 41056-111
Phone: (606) 759-4852
Fax: (606) 759-0112

The provider's authorized official is Paul A Conrad .
The authorized official title is President and has the following contact phone number (606) 759-4852.

The CLIA number assigned to this NPI record is 18D1026463 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 6/13/2013.

Taxonomy Codes

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