St. Elizabeth Physicians Maysville Diagnostic Center, Llc | |
910 Kenton Station Dr Suite E Maysville KY 41056-9613 | |
(606) 759-0073 | |
(606) 759-0075 |
Full Name | St. Elizabeth Physicians Maysville Diagnostic Center, Llc |
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Speciality | Clinic/center |
Location | 910 Kenton Station Dr, Maysville, Kentucky |
Authorized Official Name and Position | Glenn Loomis (CEO) |
Authorized Official Contact | 8593443737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Elizabeth Physicians Maysville Diagnostic Center, Llc 2300 Chamber Center Dr Suite 200 Lakeside Park KY 41017-1673 Ph: (859) 344-5555 | St. Elizabeth Physicians Maysville Diagnostic Center, Llc 910 Kenton Station Dr Suite E Maysville KY 41056-9613 Ph: (606) 759-0073 |
NPI Number | 1659633774 |
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Provider Enumeration Date | 06/14/2012 |
Last Update Date | 01/13/2015 |
Identifier | Type | State | Issuer |
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1659633774 | NPI | - | NPPES |
7100225970 | Medicaid | KY |
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