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130 Kate Ireland Dr Hyden KY 41749 | |
(606) 672-2113 | |
(606) 672-2117 |
Full Name | |
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Speciality | Family Medicine |
Location | 130 Kate Ireland Dr, Hyden, Kentucky |
Authorized Official Name and Position | Connie L. Hubbard (RISK MANAGER) |
Authorized Official Contact | 6066721102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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130 Kate Ireland Dr Hyden KY 41749-8500 Ph: (606) 672-1102 | 130 Kate Ireland Dr Hyden KY 41749 Ph: (606) 672-2113 |
NPI Number | 1174549091 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 03/29/2011 |
Identifier | Type | State | Issuer |
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1174549091 | NPI | - | NPPES |
35001668 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |