| The Village Doctor, Llc | |
|
3 Sterling Ln Hazard KY 41701-9450 | |
| (606) 439-1030 | |
| (606) 439-1035 |
| Full Name | The Village Doctor, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Sterling Ln, Hazard, Kentucky |
| Authorized Official Name and Position | Karen A Kimsey (OWNER) |
| Authorized Official Contact | 6064391030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Doctor, Llc 3 Sterling Ln Hazard KY 41701-9450 Ph: (606) 439-1030 | The Village Doctor, Llc 3 Sterling Ln Hazard KY 41701-9450 Ph: (606) 439-1030 |
| NPI Number | 1154516045 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154516045 | NPI | - | NPPES |
| 65944001 | Medicaid | KY | |
| 1538227228 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33268 (Kentucky) | Primary |
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