Healthcare Provider Details

I. General information

NPI: 1497044531
Provider Name (Legal Business Name): OHIO VALLEY NEPHROLOGY ASSOCIATES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 MAIN ST
TELL CITY IN
47586-1310
US

IV. Provider business mailing address

1930 E PARRISH AVE
OWENSBORO KY
42303-1443
US

V. Phone/Fax

Practice location:
  • Phone: 812-719-4237
  • Fax: 812-547-1150
Mailing address:
  • Phone: 270-689-1919
  • Fax: 270-689-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. THERESA MARIE SEATON
Title or Position: ACCOUNTS MANAGER
Credential:
Phone: 270-689-1919