| East Ky Clinics, Llc | |
|
108 School St Hazard KY 41701-1071 | |
| (606) 487-0776 | |
| (606) 487-0777 |
| Full Name | East Ky Clinics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 108 School St, Hazard, Kentucky |
| Authorized Official Name and Position | Phillip Randy Mullins (COO) |
| Authorized Official Contact | 6064870776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ky Clinics, Llc Po Box 1297 Hazard KY 41702-1297 Ph: (606) 487-0776 | East Ky Clinics, Llc 108 School St Hazard KY 41701-1071 Ph: (606) 487-0776 |
| NPI Number | 1356410278 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356410278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 29445 (Kentucky) | Primary |
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