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200 Medical Center Drive Hazard KY 41701 | |
| (606) 439-6600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 Medical Center Drive, Hazard, Kentucky |
| Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 Medical Center Drive Hazard KY 41701 Ph: (606) 439-6600 | 200 Medical Center Drive Hazard KY 41701 Ph: (606) 439-6600 |
| NPI Number | 1447370960 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447370960 | NPI | - | NPPES |
| 78900032 | Medicaid | KY |
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