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9847 Elizabethtown Rd Big Clifty KY 42712-5880 | |
(270) 242-2000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 9847 Elizabethtown Rd, Big Clifty, Kentucky |
Authorized Official Name and Position | Russell S Ranallo (SECRETARY) |
Authorized Official Contact | 2704174813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 23229 Owensboro KY 42304-3229 Ph: () - | 9847 Elizabethtown Rd Big Clifty KY 42712-5880 Ph: (270) 242-2000 |
NPI Number | 1093311318 |
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Provider Enumeration Date | 12/10/2020 |
Last Update Date | 08/08/2024 |
Identifier | Type | State | Issuer |
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1093311318 | NPI | - | NPPES |