| Merclan | |
|
6200 Crestwood Sta Ste A Crestwood KY 40014-7418 | |
| (501) 242-2909 | |
| Not Available |
| Full Name | Merclan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6200 Crestwood Sta Ste A, Crestwood, Kentucky |
| Authorized Official Name and Position | Jeffrey Mercer (DIRECTOR) |
| Authorized Official Contact | 5022412909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merclan 6200 Crestwood Sta Ste A Crestwood KY 40014-7418 Ph: (501) 242-2909 | Merclan 6200 Crestwood Sta Ste A Crestwood KY 40014-7418 Ph: (501) 242-2909 |
| NPI Number | 1740427780 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 01/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740427780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251000000 (Kentucky) | Primary |
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