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466 Burnley Rd Scottsville KY 42164-6355 | |
(270) 618-3700 | |
(270) 618-3772 |
Full Name | |
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Speciality | Family Medicine |
Location | 466 Burnley Rd, Scottsville, Kentucky |
Authorized Official Name and Position | Ronald G. Sowell (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2707451536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 745-1467 | 466 Burnley Rd Scottsville KY 42164-6355 Ph: (270) 618-3700 |
NPI Number | 1508899089 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 09/07/2007 |
Identifier | Type | State | Issuer |
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1508899089 | NPI | - | NPPES |
65931776 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Agape Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-239-1400 Fax: 270-239-1402 | |