Hazard Clinic | |
271 E Main St Hazard KY 41701-1939 | |
(606) 439-1316 | |
(606) 435-0752 |
Full Name | Hazard Clinic |
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Speciality | Internal Medicine |
Location | 271 E Main St, Hazard, Kentucky |
Authorized Official Name and Position | Mitchell Wicker (OWNER) |
Authorized Official Contact | 6064391316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hazard Clinic Po Box 719 Hazard KY 41702-0719 Ph: (606) 439-1316 | Hazard Clinic 271 E Main St Hazard KY 41701-1939 Ph: (606) 439-1316 |
NPI Number | 1093718116 |
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Provider Enumeration Date | 05/23/2005 |
Last Update Date | 01/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093718116 | NPI | - | NPPES |
31001035 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21790 (Kentucky) | Primary |
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