Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Buffalo Trace Gastroenterology PLLC

Organization Gastroenterology Physician · NPI 1508971722

Buffalo Trace Gastroenterology PLLC is a Gastroenterology Physician in Maysville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

991 Medical Park Dr Ste 203
Maysville, KY 41056-8728
Phone: (606) 759-5157
Fax: (606) 759-5582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 34725 (KY)

Record details

NPI number1508971722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kami Jarrells — Practice Manager · (606) 759-4869
NPI enumeratedAugust 20, 2006
Last updated in NPPESApril 2, 2008
Mailing address991 Medical Park Dr Ste 203, Maysville, KY 41056-8728

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