| |
333 Keen St Burkesville KY 42717-7682 | |
(270) 864-3371 | |
(270) 864-5667 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 333 Keen St, Burkesville, Kentucky |
Authorized Official Name and Position | Rick Neikirk (ADMINISTRATOR) |
Authorized Official Contact | 2708642511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
299 Glasgow Rd Burkesville KY 42717-9696 Ph: (270) 864-2511 | 333 Keen St Burkesville KY 42717-7682 Ph: (270) 864-3371 |
NPI Number | 1457584856 |
---|---|
Provider Enumeration Date | 09/01/2009 |
Last Update Date | 11/20/2009 |
Medicare PECOS PAC ID | 9830006618 |
---|---|
Medicare Enrollment ID | O20091102000371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457584856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Loy Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Keen St, Burkesville, KY 42717 Phone: 270-864-2889 Fax: 270-864-2229 |