OrganizationActive
Buffalo Trace Gastroenterology PLLC
NPI 1508971722 · Gastroenterology Physician · Maysville, KY
Provider details
- NPI number
- 1508971722
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kami Jarrells, Practice Manager(606) 759-4869
- License
- 34725 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
991 Medical Park Dr Ste 203
Maysville, KY 41056-8728
Phone: (606) 759-5157
Fax: (606) 759-5582
Approximate (ZIP-level) locationGet directions
Mailing address
991 Medical Park Dr Ste 203
Maysville, KY 41056-8728
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2008-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.