| Deerfield Family Practice | |
|
290 Lexington St Versailles KY 40383-1240 | |
| (859) 879-3115 | |
| (859) 879-3818 |
| Full Name | Deerfield Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 290 Lexington St, Versailles, Kentucky |
| Authorized Official Name and Position | Henry Martin West (OWNER) |
| Authorized Official Contact | 8598793115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerfield Family Practice 290 Lexington St P.o.box 846 Versailles KY 40383-1240 Ph: (859) 879-3115 | Deerfield Family Practice 290 Lexington St Versailles KY 40383-1240 Ph: (859) 879-3115 |
| NPI Number | 1265693758 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265693758 | NPI | - | NPPES |
| 000000323903 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20583 (Kentucky) | Primary |
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