R BROOKS CALLIHAN DMD PSC
Managed Care Organizations at Main St, Lloyd, KY

License number
Kentucky 4699
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: R BROOKS CALLIHAN DMD
Title: PRESIDENT
Phone: (606) 473-6322
Address
Address
219 Main St, Lloyd, KY 41144
National Provider ID: 1821368499
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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R. BROOKS CALLIHAN, D.M.D., P.S.C

219 Main St, Greenup, KY 41144

Registration:
Mar 25, 1981
State ID:
0154797
Business type:
Kentucky Professional Services Corp
Directors:
R Brooks Callihan (Sole Officer),R. Brooks Callihan (Director)

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