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323 S Jefferson St Unit C Princeton KY 42445-2100 | |
(270) 744-9600 | |
(270) 744-0834 |
Full Name | |
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Speciality | Family Medicine |
Location | 323 S Jefferson St, Princeton, Kentucky |
Authorized Official Name and Position | Linda Derr (PROVIDER ENROLLMENT SPECIALIST) |
Authorized Official Contact | 2707449600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9150 Paducah KY 42002-9150 Ph: (270) 744-9600 | 323 S Jefferson St Unit C Princeton KY 42445-2100 Ph: (270) 744-9600 |
NPI Number | 1366699811 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 09/22/2008 |
Identifier | Type | State | Issuer |
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1366699811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 41705 (Kentucky) | Primary |
Cash Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Micbeth Drive, Princeton, KY 42445 Phone: 270-365-1225 Fax: 270-365-1252 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 W Main St, Princeton, KY 42445 Phone: 615-988-1571 | |
C. Michael Littlejohn, Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Jefferson St, Princeton, KY 42445 Phone: 270-365-3343 Fax: 270-365-4467 |