| Hodgenville Clinic | |
|
207 West Main Street Hodgenville KY 42748-1559 | |
| (270) 358-3829 | |
| (270) 358-9350 |
| Full Name | Hodgenville Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 207 West Main Street, Hodgenville, Kentucky |
| Authorized Official Name and Position | Steven Preston (OWNER) |
| Authorized Official Contact | 2703583829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodgenville Clinic 207 West Main Street Hodgenville KY 42748-1559 Ph: (270) 358-3829 | Hodgenville Clinic 207 West Main Street Hodgenville KY 42748-1559 Ph: (270) 358-3829 |
| NPI Number | 1730738444 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730738444 | NPI | - | NPPES |
| 64060908 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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