Regina L Mcdaniels, Md, Pllc | |
370 Highland Park Dr Suite 2 Richmond KY 40475-3546 | |
(859) 626-0627 | |
(859) 626-0114 |
Full Name | Regina L Mcdaniels, Md, Pllc |
---|---|
Speciality | Family Medicine |
Location | 370 Highland Park Dr, Richmond, Kentucky |
Authorized Official Name and Position | Regina Lynn Mcdaniels (OPERATING MANAGER / OWNER) |
Authorized Official Contact | 8596260627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Regina L Mcdaniels, Md, Pllc 370 Highland Park Dr Suite 2 Richmond KY 40475-3546 Ph: (859) 626-0627 | Regina L Mcdaniels, Md, Pllc 370 Highland Park Dr Suite 2 Richmond KY 40475-3546 Ph: (859) 626-0627 |
NPI Number | 1356521223 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356521223 | NPI | - | NPPES |
64050768 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34004 (Kentucky) | Primary |
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