Whalio Doctors

NPI 1053382788

Medical Investment Trust

Organisation Allergy & Immunology Physician Pikeville, KY

Practice location

Address
156 Island Creek Rd, Pikeville, KY 41501-9340
Phone
(606) 432-0174
Fax
(606) 437-0438
Mailing address
PO Box 2708 Asthma and Allergy Center, Pikeville, KY 41502-2708

Authorised official

Name
Djien H So
Title
Administrator
Phone
(606) 432-0174

Registered specialties (2)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 17816 (KY)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 3001627 (KY)

Registry record

NPI
1053382788
Entity type
Organization
NPI issued
31 Jan 2006
Record last updated
13 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.