Fast Pace Kentucky, Pllc | |
1871 Cumberland Falls Hwy Corbin KY 40701-2731 | |
(931) 253-1110 | |
Not Available |
Full Name | Fast Pace Kentucky, Pllc |
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Speciality | Clinic/Center |
Location | 1871 Cumberland Falls Hwy, Corbin, Kentucky |
Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
Authorized Official Contact | 9013511791 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fast Pace Kentucky, Pllc Po Box 306414 Nashville TN 37230-6414 Ph: (931) 253-1110 | Fast Pace Kentucky, Pllc 1871 Cumberland Falls Hwy Corbin KY 40701-2731 Ph: (931) 253-1110 |
NPI Number | 1639899164 |
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Provider Enumeration Date | 09/02/2022 |
Last Update Date | 09/02/2022 |
Medicare PECOS PAC ID | 0143525998 |
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Medicare Enrollment ID | O20221019000216 |
Identifier | Type | State | Issuer |
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1639899164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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