| N/a | |
|
105 Fairgrounds Rd Hardinsburg KY 40143 | |
| (270) 756-2258 | |
| (270) 756-1239 |
| Full Name | N/a |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Fairgrounds Rd, Hardinsburg, Kentucky |
| Authorized Official Name and Position | Robert Bryan Chambliss (OWNER) |
| Authorized Official Contact | 2707562258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 105 Fairgrounds Rd Hardinsburg KY 40143 Ph: (270) 756-2258 | N/a 105 Fairgrounds Rd Hardinsburg KY 40143 Ph: (270) 756-2258 |
| NPI Number | 1215099304 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215099304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13585 (Kentucky) | Primary |
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