Kentucky Primary Medical Services Llc | |
311 Roy Campbell Dr Hazard KY 41701-9486 | |
(606) 487-0776 | |
(606) 487-0777 |
Full Name | Kentucky Primary Medical Services Llc |
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Speciality | Clinic/center - Primary Care |
Location | 311 Roy Campbell Dr, Hazard, Kentucky |
Authorized Official Name and Position | Phillip Randy Mullins (CEO) |
Authorized Official Contact | 6064870776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kentucky Primary Medical Services Llc Po Box 1797 Hazard KY 41702-1797 Ph: (606) 487-0776 | Kentucky Primary Medical Services Llc 311 Roy Campbell Dr Hazard KY 41701-9486 Ph: (606) 487-0776 |
NPI Number | 1972867224 |
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Provider Enumeration Date | 07/02/2012 |
Last Update Date | 02/10/2014 |
Identifier | Type | State | Issuer |
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1972867224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Hazard Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Memorial Dr Ste 1, Hazard, KY 41701 Phone: 606-435-0001 Fax: 606-435-0058 | |
Advanced Care Clinique Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-439-3223 | |
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