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789 Eastern Byp Ste 11 Richmond KY 40475-2415 | |
(859) 624-0012 | |
(859) 624-0899 |
Full Name | |
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Speciality | Family Medicine |
Location | 789 Eastern Byp, Richmond, Kentucky |
Authorized Official Name and Position | Debra M Powell (DIRECTOR OF PATIENT ACCOUNTING) |
Authorized Official Contact | 8596253125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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789 Eastern Byp Ste 11 Richmond KY 40475-2415 Ph: (859) 624-0012 | 789 Eastern Byp Ste 11 Richmond KY 40475-2415 Ph: (859) 624-0012 |
NPI Number | 1932422599 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
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1932422599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Family Health Care Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 312 Jason Dr, Suite 9, Richmond, KY 40475 Phone: 859-626-9696 | |
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