| Fast Pace Kentucky Pllc | |
|
38 Broadway Street Dry Ridge KY 41035 | |
| (859) 300-0694 | |
| Not Available |
| Full Name | Fast Pace Kentucky Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 38 Broadway Street, Dry Ridge, Kentucky |
| Authorized Official Name and Position | Selena Gurley (VP) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Kentucky Pllc Po Box 306414 Nashville TN 37230-6414 Ph: (931) 253-1110 | Fast Pace Kentucky Pllc 38 Broadway Street Dry Ridge KY 41035 Ph: (859) 300-0694 |
| NPI Number | 1922842285 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922842285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blue Crescent-blue Star Medical Of Kentucky, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 S Main St, Dry Ridge, KY 41035 Phone: 859-823-0000 |