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20 Eddington Ln Suite 161 Viper KY 41774-8226 | |
(606) 633-4823 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 20 Eddington Ln, Viper, Kentucky |
Authorized Official Name and Position | L.m. Caudill (CREDENTIALING) |
Authorized Official Contact | 6066334823 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40 Whitesburg KY 41858-0040 Ph: () - | 20 Eddington Ln Suite 161 Viper KY 41774-8226 Ph: (606) 633-4823 |
NPI Number | 1699199422 |
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Provider Enumeration Date | 02/14/2014 |
Last Update Date | 02/14/2014 |
Identifier | Type | State | Issuer |
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1699199422 | NPI | - | NPPES |