Leatherwood Elementary School Based Clinic | |
7777 Ky Highway 699 Suite A Cornettsville KY 41731-9013 | |
(606) 633-4823 | |
Not Available |
Full Name | Leatherwood Elementary School Based Clinic |
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Speciality | Nurse Practitioner |
Location | 7777 Ky Highway 699, Cornettsville, Kentucky |
Authorized Official Name and Position | L.m. Caudill (CEO) |
Authorized Official Contact | 6066334823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leatherwood Elementary School Based Clinic Po Box 40 Whitesburg KY 41858-0040 Ph: (606) 633-4823 | Leatherwood Elementary School Based Clinic 7777 Ky Highway 699 Suite A Cornettsville KY 41731-9013 Ph: (606) 633-4823 |
NPI Number | 1144644022 |
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Provider Enumeration Date | 02/12/2014 |
Last Update Date | 04/23/2014 |
Identifier | Type | State | Issuer |
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1144644022 | NPI | - | NPPES |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 464 Ky Highway 699, Cornettsville, KY 41731 Phone: 606-476-2593 Fax: 606-476-2347 |