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700 Portland Ave Bardstown KY 40004-2582 | |
(502) 628-2103 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 700 Portland Ave, Bardstown, Kentucky |
Authorized Official Name and Position | Michele Aponte (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5023841917 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2843 Brownsboro Rd Ste 201 Louisville KY 40206-1281 Ph: (502) 384-1917 | 700 Portland Ave Bardstown KY 40004-2582 Ph: (502) 628-2103 |
NPI Number | 1700587011 |
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Provider Enumeration Date | 03/14/2023 |
Last Update Date | 02/15/2024 |
Identifier | Type | State | Issuer |
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1700587011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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