| Rediscover Llc | |
|
345 Big Hill Ave Richmond KY 40475-2011 | |
| (859) 353-5311 | |
| Not Available |
| Full Name | Rediscover Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 345 Big Hill Ave, Richmond, Kentucky |
| Authorized Official Name and Position | Hannah Whitaker (OWNER) |
| Authorized Official Contact | 8593585440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediscover Llc 345 Big Hill Ave Richmond KY 40475-2011 Ph: (859) 353-5311 | Rediscover Llc 345 Big Hill Ave Richmond KY 40475-2011 Ph: (859) 353-5311 |
| NPI Number | 1841920881 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 5799142592 |
|---|---|
| Medicare Enrollment ID | O20230609002237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841920881 | NPI | - | NPPES |
| Provider Name | Roberta Lynn Allison |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114954104 PECOS PAC ID: 8921197757 Enrollment ID: I20100730000363 |
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