NPI 1821368499

R Brooks Callihan DMD Psc

Organisation Exclusive Provider Organization Greenup, KY

Practice location

Address: 219 Main St, Greenup, KY 41144-1068
Phone: (606) 473-6322
Fax: (606) 473-0200

Authorised official

Name: R Brooks Callihan
Title: President
Phone: (606) 473-6322

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4699 (KY)

Other Exclusive Provider Organization providers in Kentucky →

Registry record

NPI: 1821368499
Entity type: Organization
NPI issued: 12 Jan 2012
Record last updated: 12 Jan 2012

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.