Kentucky Mso Llc | |
1004 W Park Dr Ste B Lawrenceburg KY 40342 | |
(502) 353-4580 | |
(502) 353-4112 |
Full Name | Kentucky Mso Llc |
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Speciality | Clinic/Center |
Location | 1004 W Park Dr Ste B, Lawrenceburg, Kentucky |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207208 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kentucky Mso Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Kentucky Mso Llc 1004 W Park Dr Ste B Lawrenceburg KY 40342 Ph: (502) 353-4580 |
NPI Number | 1922860758 |
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Provider Enumeration Date | 01/26/2024 |
Last Update Date | 01/26/2024 |
Medicare PECOS PAC ID | 0749450633 |
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Medicare Enrollment ID | O20240403001484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922860758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W Park Dr, Lawrenceburg, KY 40342 Phone: 931-253-1110 | |
Cumberland Family Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1222 Alton Road, Lawrenceburg, KY 40342 Phone: 270-406-8805 Fax: 502-353-4218 | |
Vip Community Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Humston Dr, Lawrenceburg, KY 40342 Phone: 270-543-7557 |