| T & T Drug Clinical Services | |
|
1331 Clay St Henderson KY 42420-4203 | |
| (270) 831-6243 | |
| (270) 827-4934 |
| Full Name | T & T Drug Clinical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1331 Clay St, Henderson, Kentucky |
| Authorized Official Name and Position | Pamela Marshall (AO) |
| Authorized Official Contact | 2708316243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T & T Drug Clinical Services 1331 Clay St Henderson KY 42420-4203 Ph: (270) 831-6243 | T & T Drug Clinical Services 1331 Clay St Henderson KY 42420-4203 Ph: (270) 831-6243 |
| NPI Number | 1578200788 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 1951770981 |
|---|---|
| Medicare Enrollment ID | O20221213002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578200788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Joshua S Kitchens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386974004 PECOS PAC ID: 5092839035 Enrollment ID: I20100827000882 |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20210917002370 |
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