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Southeast Family Practice Psc
Psychiatric/Mental Health Nurse Practitioner in Pineville, Kentucky
NPI 1033600416

Southeast Family Practice Psc is a Psychiatric/Mental Health Nurse Practitioner based in Pineville, KY and is specialized in Psychiatric/Mental Health. Southeast Family Practice Psc practices in Pineville, KY. The NPI Number for Southeast Family Practice Psc is 1033600416 and holds a License No. (Kentucky).

The current practice location address for Southeast Family Practice Psc is 222 W Tennessee Ave, Pineville, KY and can be reached out via phone at 606-499-5135.

Location: 222 W Tennessee Ave, Pineville, KY, 40977-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033600416
Provider Name
Southeast Family Practice Psc
Credential
Provider Entity Type
Organization
Address
222 W Tennessee Ave, Pineville, KY, 40977-1737
Phone Number
606-499-5135
Fax Number
Provider Enumeration Date
05/22/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
222 W Tennessee Ave
City
Pineville
State
Kentucky
Zip
40977-1737
Phone Number
606-499-5135
Fax Number
person
Provider Business Mailing Address Details
Address
222 W Tennessee Ave
City
Pineville
State
Kentucky
Zip
40977-1737
Phone Number
606-499-5135
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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