| Parkway Medical Clinic | |
|
454 Manchester Square Shpg Ctr Manchester KY 40962-8781 | |
| (606) 598-5115 | |
| (606) 598-7179 |
| Full Name | Parkway Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 454 Manchester Square Shpg Ctr, Manchester, Kentucky |
| Authorized Official Name and Position | Judy Reynolds (OFFICE MANAGER) |
| Authorized Official Contact | 6065985115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Medical Clinic Po Box 369 Manchester KY 40962-0369 Ph: (606) 598-5115 | Parkway Medical Clinic 454 Manchester Square Shpg Ctr Manchester KY 40962-8781 Ph: (606) 598-5115 |
| NPI Number | 1992965032 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992965032 | NPI | - | NPPES |
| 65920480 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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