| |
403 Fairview Ave Eddyville KY 42038 | |
(270) 388-5454 | |
(270) 388-5452 |
Full Name | |
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Speciality | Family Medicine |
Location | 403 Fairview Ave, Eddyville, Kentucky |
Authorized Official Name and Position | Dana L Evans (ENROLLMENT REP) |
Authorized Official Contact | 2707449600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9150 Paducah KY 42002-9150 Ph: (270) 744-9600 | 403 Fairview Ave Eddyville KY 42038 Ph: (270) 388-5454 |
NPI Number | 1972531382 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 09/17/2008 |
Identifier | Type | State | Issuer |
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1972531382 | NPI | - | NPPES |
65922767 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38600 (Kentucky) | Primary |
David W French Md Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 W Fairview Ave, Eddyville, KY 42038 Phone: 270-388-5454 Fax: 270-388-5452 | |