| Scottsville Urgent Clinic | |
|
218 North Court Street Scottsville KY 42164-1440 | |
| (270) 237-4899 | |
| (270) 237-4466 |
| Full Name | Scottsville Urgent Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 218 North Court Street, Scottsville, Kentucky |
| Authorized Official Name and Position | Kenny Joe Manion (OWNER/CEO/MD) |
| Authorized Official Contact | 2706517796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsville Urgent Clinic 218 North Court Street Scottsville KY 42164-1440 Ph: (270) 237-4899 | Scottsville Urgent Clinic 218 North Court Street Scottsville KY 42164-1440 Ph: (270) 237-4899 |
| NPI Number | 1922092642 |
|---|---|
| Provider Enumeration Date | 09/08/2005 |
| Last Update Date | 01/02/2014 |
| Medicare PECOS PAC ID | 3274515465 |
|---|---|
| Medicare Enrollment ID | O20040602000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922092642 | NPI | - | NPPES |
| 65933772 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24806 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| Provider Name | Kenny J Manion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518951896 PECOS PAC ID: 8820070022 Enrollment ID: I20040728000853 |
| Provider Name | Mary E Harkleroad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003879586 PECOS PAC ID: 4385618776 Enrollment ID: I20120925000472 |
| Provider Name | Kasey Danielle Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345940 PECOS PAC ID: 4587080643 Enrollment ID: I20200819003265 |
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