| Danville Medical Practice Pllc | |
|
416a W Walnut St Danville KY 40422 | |
| (859) 936-2020 | |
| (859) 936-7424 |
| Full Name | Danville Medical Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 416a W Walnut St, Danville, Kentucky |
| Authorized Official Name and Position | Kathy D Bourne (OFFICE MANAGER) |
| Authorized Official Contact | 8599362020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Medical Practice Pllc 416a W Walnut St Danville KY 40422 Ph: (859) 936-2020 | Danville Medical Practice Pllc 416a W Walnut St Danville KY 40422 Ph: (859) 936-2020 |
| NPI Number | 1043318561 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043318561 | NPI | - | NPPES |
| DB4203 | Other | KY | RAILROAD MEDICARE |
| 000000313483 | Other | KY | BC GROUP # |
| 65940082 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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