| Internal Medicine Associates Of Ky Psc | |
|
2135 Highway 30 Suite 1 London KY 40741-6139 | |
| (606) 864-2179 | |
| Not Available |
| Full Name | Internal Medicine Associates Of Ky Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2135 Highway 30, London, Kentucky |
| Authorized Official Name and Position | Judy M Ulrich (OFFICE MANAGER) |
| Authorized Official Contact | 6068642179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Ky Psc 2135 Highway 30 Suite 1 London KY 40741 Ph: (606) 864-2179 | Internal Medicine Associates Of Ky Psc 2135 Highway 30 Suite 1 London KY 40741-6139 Ph: (606) 864-2179 |
| NPI Number | 1295767556 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295767556 | NPI | - | NPPES |
| 7100019100 | Medicaid | KY | |
| 65943672 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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