| 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 |
|---|---|
| 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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