| Member Medical, Inc. | |
|
3046 Dolphin Dr Ste 104 Elizabethtown KY 42701-7182 | |
| (270) 307-1980 | |
| (270) 505-4204 |
| Full Name | Member Medical, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3046 Dolphin Dr Ste 104, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Sally Rineker (OFFICE MANAGER) |
| Authorized Official Contact | 2703071980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Member Medical, Inc. 3046 Dolphin Dr Ste 104 Elizabethtown KY 42701-7182 Ph: (270) 307-1980 | Member Medical, Inc. 3046 Dolphin Dr Ste 104 Elizabethtown KY 42701-7182 Ph: (270) 307-1980 |
| NPI Number | 1154966778 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154966778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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