| Scott County Family Practice Pllc | |
|
1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 | |
| (502) 863-4485 | |
| (502) 863-4487 |
| Full Name | Scott County Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1140 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Padma Rao (SOLE OWNER) |
| Authorized Official Contact | 5028634485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott County Family Practice Pllc 1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 Ph: (502) 863-4485 | Scott County Family Practice Pllc 1140 Lexington Rd Suite 200 Georgetown KY 40324-9330 Ph: (502) 863-4485 |
| NPI Number | 1275707192 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 6709911548 |
|---|---|
| Medicare Enrollment ID | O20100317001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37079 (Kentucky) | Primary |
| Provider Name | Padma Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629098033 PECOS PAC ID: 2365439502 Enrollment ID: I20040428001448 |
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