Healthcare Provider Details

I. General information

NPI: 1821045394
Provider Name (Legal Business Name): DHP INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 COWPEN RD
PIKEVILLE KY
41501-6028
US

IV. Provider business mailing address

171 ABBOTT CREEK RD
PRESTONSBURG KY
41653-8969
US

V. Phone/Fax

Practice location:
  • Phone: 606-886-9845
  • Fax: 606-886-0834
Mailing address:
  • Phone: 606-886-9845
  • Fax: 606-886-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1567
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1567
License Number StateKY

VIII. Authorized Official

Name: MR. KEVIN FAIRLIE
Title or Position: PRESIDENT
Credential:
Phone: 314-489-8446