| |
94 Marie Langdon Dr Manchester KY 40962-6353 | |
(606) 598-5104 | |
(606) 598-6507 |
Full Name | |
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Speciality | Family Medicine |
Location | 94 Marie Langdon Dr, Manchester, Kentucky |
Authorized Official Name and Position | Benny Nolen (VICE PRESIDENT) |
Authorized Official Contact | 6065985104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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509 Memorial Dr Manchester KY 40962-6195 Ph: (606) 598-5104 | 94 Marie Langdon Dr Manchester KY 40962-6353 Ph: (606) 598-5104 |
NPI Number | 1447470539 |
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Provider Enumeration Date | 04/30/2007 |
Last Update Date | 01/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447470539 | NPI | - | NPPES |
31001134 | Medicaid | KY | |
CC2941 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bell Medical Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Richmond Rd Unit B, Manchester, KY 40962 Phone: 859-402-4853 Fax: 606-598-8838 | |
Kishore Internal Medicine, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962 Phone: 606-599-0200 Fax: 606-599-0202 | |
Christian Family Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085 |