| Premise Health Of Kentucky Medical, P.s.c. | |
|
1600 N Main St Hopkinsville KY 42240-2724 | |
| (270) 707-1679 | |
| Not Available |
| Full Name | Premise Health Of Kentucky Medical, P.s.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1600 N Main St, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Will Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Kentucky Medical, P.s.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Kentucky Medical, P.s.c. 1600 N Main St Hopkinsville KY 42240-2724 Ph: (270) 707-1679 |
| NPI Number | 1588447627 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588447627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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