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239 N 12th St Middlesboro KY 40965-1029 | |
| (270) 632-1548 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 239 N 12th St, Middlesboro, Kentucky |
| Authorized Official Name and Position | Christy Littlejohn (MANAGER) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5802 Carol Stream IL 60197-5802 Ph: () - | 239 N 12th St Middlesboro KY 40965-1029 Ph: (270) 632-1548 |
| NPI Number | 1326600974 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326600974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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