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Pinelake Physician Practice Llc
Rural Health Clinic/Center in Hickman, Kentucky
NPI 1205494085

Pinelake Physician Practice Llc is a Rural Health Clinic/Center based in Brentwood, KY and is specialized in Rural Health. Pinelake Physician Practice Llc practices in Hickman, KY. The NPI Number for Pinelake Physician Practice Llc is 1205494085 and holds a License No. (Kentucky).

The current practice location address for Pinelake Physician Practice Llc is 2003 S 7Th St, Hickman, KY and can be reached out via phone at 270-236-3337 and via fax at 270-236-3340.

Location: 2003 S 7Th St, Hickman, KY, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205494085
Provider Name
Pinelake Physician Practice Llc
Credential
Provider Entity Type
Organization
Address
2003 S 7Th St, Hickman, KY, 37027-5098
Phone Number
270-236-3337
Fax Number
270-236-3340
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2003 S 7Th St
City
Hickman
State
Kentucky
Zip
42050-1841
Phone Number
270-236-3337
Fax Number
270-236-3340
person
Provider Business Mailing Address Details
Address
2003 S 7Th St
City
Hickman
State
Kentucky
Zip
42050-1841
Phone Number
270-236-3337
Fax Number
270-236-3340
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
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Definition
Definition to come...
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