Pine Mountain Clinic Psc Valid NPI

Organization · Internal Medicine Physician · Pineville, KY

NPI

1205054327

Type

Organization (Type 2)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

29667 (KY)

Enumerated

2007-04-23

Last updated

2026-01-07