Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEN W BACK, PA
ActiveMedical Physician Assistant · HAZARD, KY
Registration Details
- NPI Number
- 1619942562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2006 (20.159138584708 yrs)
- Last Updated
- May 13, 2021
- License
-
PA364 (KY)
Practice Information
- Address
-
210 BLACK GOLD BLVD STE 106HAZARD, KY, 417012620Browse KY providers · Browse ZIP 41701
- Phone
- 6064360711
- Fax
- 6064360848
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HAZARD, KY
| Name | Credential | NPI |
|---|---|---|
| TERRY L SMITH | PAC | 1710952585 |
| GREGORY HOSKINS | PA | 1790925857 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.