| Doctors Pllc | |
|
111 N Woodland Drive Radcliff KY 40160 | |
| (270) 351-6036 | |
| (270) 351-6042 |
| Full Name | Doctors Pllc |
|---|---|
| Speciality | General Practice |
| Location | 111 N Woodland Drive, Radcliff, Kentucky |
| Authorized Official Name and Position | Hariklia Alexatos Wilk (OWNER) |
| Authorized Official Contact | 2703516036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Pllc 111 N Woodland Drive Radcliff KY 40160 Ph: (270) 351-6036 | Doctors Pllc 111 N Woodland Drive Radcliff KY 40160 Ph: (270) 351-6036 |
| NPI Number | 1174675763 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 01/02/2014 |
| Medicare PECOS PAC ID | 1355328824 |
|---|---|
| Medicare Enrollment ID | O20100421000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174675763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 32654 (Kentucky) | Secondary |
| 208D00000X | General Practice | 02481 (Kentucky) | Primary |
| Provider Name | Hariklia Alexatos-wilk |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548229594 PECOS PAC ID: 6204813777 Enrollment ID: I20100421000526 |
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