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21154 Highway 421 Hyden KY 41749-8553 | |
(606) 672-1208 | |
(606) 672-1209 |
Full Name | |
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Speciality | Clinic/Center |
Location | 21154 Highway 421, Hyden, Kentucky |
Authorized Official Name and Position | Michael W. Stanley (C.E,O.) |
Authorized Official Contact | 6065269005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 Ph: (606) 526-9005 | 21154 Highway 421 Hyden KY 41749-8553 Ph: (606) 672-1208 |
NPI Number | 1598207557 |
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Provider Enumeration Date | 11/08/2016 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Medicare PECOS PAC ID | 3870654064 |
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Medicare Enrollment ID | O20170206000175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598207557 | NPI | - | NPPES |
Provider Name | Kirbi Alexandria Kersey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851770051 PECOS PAC ID: 9335460872 Enrollment ID: I20150609000945 |
Saint-clair, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Happiness Lane, Hyden, KY 41749 Phone: 606-275-1755 |