| |
124 W 3rd St Hardinsburg KY 40143-2624 | |
(270) 756-2178 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 124 W 3rd St, Hardinsburg, Kentucky |
Authorized Official Name and Position | Brian T. O'donoghue (FAMILY PHYSICAN) |
Authorized Official Contact | 2707562178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 32 Hardinsburg KY 40143-0032 Ph: (270) 756-2178 | 124 W 3rd St Hardinsburg KY 40143-2624 Ph: (270) 756-2178 |
NPI Number | 1467623462 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 02/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467623462 | NPI | - | NPPES |
65900656 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ack Healthcare Management Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Ballpark Rd, Hardinsburg, KY 40143 Phone: 270-580-4778 Fax: 270-580-4779 |