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850 Riverview Ave Pineville KY 40977-1430 | |
| (606) 337-3051 | |
| (606) 337-2871 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 850 Riverview Ave, Pineville, Kentucky |
| Authorized Official Name and Position | Matthew Brock (CEO) |
| Authorized Official Contact | 6063373051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
850 Riverview Ave Pineville KY 40977-1430 Ph: (606) 337-3051 | 850 Riverview Ave Pineville KY 40977-1430 Ph: (606) 337-3051 |
| NPI Number | 1801069315 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801069315 | NPI | - | NPPES |
| 01011352 | Medicaid | KY | |
| 180021 | Other | KY | MEDICARE ID |
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