Diana M. Stulc, Psc | |
444 S Main St Madisonville KY 42431-2871 | |
(270) 825-4204 | |
(270) 825-4274 |
Full Name | Diana M. Stulc, Psc |
---|---|
Speciality | Family Medicine |
Location | 444 S Main St, Madisonville, Kentucky |
Authorized Official Name and Position | Diana Minassian Stulc (OWNER) |
Authorized Official Contact | 2708254204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diana M. Stulc, Psc 444 S Main St Madisonville KY 42431-2871 Ph: (270) 825-4204 | Diana M. Stulc, Psc 444 S Main St Madisonville KY 42431-2871 Ph: (270) 825-4204 |
NPI Number | 1306813431 |
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Provider Enumeration Date | 03/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306813431 | NPI | - | NPPES |
NO GROUP # | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N/A (Kentucky) | Primary |
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