| |
841 Us Hwy 25w South, Ste 5, Williamsburg, KY 40769 | |
(606) 549-0123 | |
(606) 549-5995 |
Full Name | |
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Type | Facility |
Speciality | Internal Medicine |
Location | 841 Us Hwy 25w South, Williamsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487667770 | NPI | - | NPPES |
35-001692 | Medicaid | KY | |
85900322 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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841 Us Hwy 25w South, Ste 5, Williamsburg, KY 40769 Ph: (606) 549-0123 | 841 Us Hwy 25w South, Ste 5, Williamsburg, KY 40769 Ph: (606) 549-0123 |