| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Main St, Cadiz, Kentucky |
| Authorized Official Name and Position | Alisa Coleman (CEO) |
| Authorized Official Contact | 2705223215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1724 Cadiz KY 42211-1724 Ph: () - | 250 Main St Cadiz KY 42211-9153 Ph: (270) 522-3444 |
| NPI Number | 1760887491 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760887491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 600055 (Kentucky) | Primary |
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