Knott County Family Healthcare West | |
86 Savannah Lane Bulan KY 41722 | |
(606) 598-5104 | |
(606) 598-0983 |
Full Name | Knott County Family Healthcare West |
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Speciality | Family Medicine |
Location | 86 Savannah Lane, Bulan, Kentucky |
Authorized Official Name and Position | Benny Nolen (VICE PRESIDENT) |
Authorized Official Contact | 6065985104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Knott County Family Healthcare West 509 Memorial Dr Manchester KY 40962-6195 Ph: (606) 598-5104 | Knott County Family Healthcare West 86 Savannah Lane Bulan KY 41722 Ph: (606) 598-5104 |
NPI Number | 1376759563 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 01/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376759563 | NPI | - | NPPES |
APPLIED | Other | KY | APPLIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |