| Physician Services Of Memorial Hospital | |
|
210 Marie Langdon Dr Manchester KY 40962-6388 | |
| (606) 598-5104 | |
| (606) 599-0983 |
| Full Name | Physician Services Of Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 210 Marie Langdon Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Benny Nolen (VICE PRESIDENT) |
| Authorized Official Contact | 6065985104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Of Memorial Hospital 210 Marie Langdon Dr Manchester KY 40962-6388 Ph: (606) 598-5104 | Physician Services Of Memorial Hospital 210 Marie Langdon Dr Manchester KY 40962-6388 Ph: (606) 598-5104 |
| NPI Number | 1245370824 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245370824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 900134 (Kentucky) | Primary |
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