| |
506 Maysville Rd, Suite 2, Mt Sterling, KY 40353-9317 | |
(859) 432-8168 | |
(859) 432-8163 |
Full Name | |
---|---|
Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 506 Maysville Rd, Mt Sterling, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407187941 | NPI | - | NPPES |
78012085 | Medicaid | KY | |
1609884287 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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506 N Maysville Road, Suite 2, Mt Sterling, KY 40353-9679 Ph: (859) 432-8168 | 506 Maysville Rd, Suite 2, Mt Sterling, KY 40353-9317 Ph: (859) 432-8168 |