| Riverview Family Practice Psc | |
|
203 S Water St Louisa KY 41230-1387 | |
| (606) 638-4504 | |
| (606) 638-4186 |
| Full Name | Riverview Family Practice Psc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 203 S Water St, Louisa, Kentucky |
| Authorized Official Name and Position | Mark B Kingston (CLINIC DIRECTOR) |
| Authorized Official Contact | 6066384504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Family Practice Psc 203 S Water St Po Box 120 Louisa KY 41230-1387 Ph: (606) 638-4504 | Riverview Family Practice Psc 203 S Water St Louisa KY 41230-1387 Ph: (606) 638-4504 |
| NPI Number | 1144218413 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144218413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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