PIKEVILLE DERMATOLOGY & COSMETIC CENTER, PSC
Osteopathic Medicine at Auxier Ave, Pikeville, KY

License number
Kentucky 02627
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: DR. TIMOTHY R LAVENDER D.O.
Title: OWNER & PHYSICIAN
Phone: (606) 432-9106
Address
Address
108 N Auxier Ave, Pikeville, KY 41501
National Provider ID: 1235343419
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PIKEVILLE DERMATOLOGY & COSMETIC CENTER, PSC

108 N Auxier Ave, Pikeville, KY 41501

Registration:
Feb 1, 2006
State ID:
0631151
Business type:
Kentucky Professional Services Corp
Incorporators:
Timothy R Lavender (President),Timothy R. Lavender (Incorporator)

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