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1 S Creek Dr Ste 102 Monticello KY 42633-9472 | |
(606) 348-3365 | |
(606) 348-8496 |
Full Name | |
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Speciality | Family Medicine |
Location | 1 S Creek Dr Ste 102, Monticello, Kentucky |
Authorized Official Name and Position | Robert A Parmelee (ADMINISTRATOR) |
Authorized Official Contact | 6063483365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 S Creek Dr Ste 102 Monticello KY 42633-9472 Ph: (606) 348-3365 | 1 S Creek Dr Ste 102 Monticello KY 42633-9472 Ph: (606) 348-3365 |
NPI Number | 1104963305 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 03/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104963305 | NPI | - | NPPES |
35000561 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |