| Russell Fork Family Clinic | |
|
10363 Regina Belcher Hwy Ste 101 Elkhorn City KY 41522-8510 | |
| (606) 794-1812 | |
| Not Available |
| Full Name | Russell Fork Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10363 Regina Belcher Hwy, Elkhorn City, Kentucky |
| Authorized Official Name and Position | Delena L Johnson (MEMBER) |
| Authorized Official Contact | 6067941812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Fork Family Clinic 10363 Regina Belcher Hwy Ste 101 Elkhorn City KY 41522-8510 Ph: (606) 794-1812 | Russell Fork Family Clinic 10363 Regina Belcher Hwy Ste 101 Elkhorn City KY 41522-8510 Ph: (606) 794-1812 |
| NPI Number | 1164851366 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164851366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Kentucky) | Primary |
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