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58 B Ball Park Drive Mcroberts KY 41835-9099 | |
(606) 633-4823 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 58 B Ball Park Drive, Mcroberts, Kentucky |
Authorized Official Name and Position | L.m. (mike) Caudill (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6066334823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40 Whitesburg KY 41858-0040 Ph: (606) 633-4823 | 58 B Ball Park Drive Mcroberts KY 41835-9099 Ph: (606) 633-4823 |
NPI Number | 1235473711 |
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Provider Enumeration Date | 11/21/2012 |
Last Update Date | 10/07/2024 |
Identifier | Type | State | Issuer |
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1235473711 | NPI | - | NPPES |