| Bardwell Wellness Center Llc | |
|
178 Us Highway 51 N Ste B Bardwell KY 42023-9096 | |
| (270) 628-5445 | |
| (270) 628-3179 |
| Full Name | Bardwell Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 178 Us Highway 51 N Ste B, Bardwell, Kentucky |
| Authorized Official Name and Position | Chris Augustus (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2706285445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bardwell Wellness Center Llc 178 Us Highway 51 N Ste B Bardwell KY 42023-9096 Ph: (270) 628-5445 | Bardwell Wellness Center Llc 178 Us Highway 51 N Ste B Bardwell KY 42023-9096 Ph: (270) 628-5445 |
| NPI Number | 1851970602 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851970602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Kentuckycare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 E Court St, Bardwell, KY 42023 Phone: 270-628-9999 Fax: 270-628-3334 |