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Pinelake Physician Practice Llc
Rural Health Clinic/Center in Mayfield, Kentucky
NPI 1275178089

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 Mayfield, KY. The NPI Number for Pinelake Physician Practice Llc is 1275178089 and holds a License No. (Kentucky).

The current practice location address for Pinelake Physician Practice Llc is 417 S 6Th St, Mayfield, KY and can be reached out via phone at 270-247-1104.

Location: 417 S 6Th St, Mayfield, KY, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275178089
Provider Name
Pinelake Physician Practice Llc
Credential
Provider Entity Type
Organization
Address
417 S 6Th St, Mayfield, KY, 37027-5098
Phone Number
270-247-1104
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
417 S 6Th St
City
Mayfield
State
Kentucky
Zip
42066-2311
Phone Number
270-247-1104
Fax Number
person
Provider Business Mailing Address Details
Address
417 S 6Th St
City
Mayfield
State
Kentucky
Zip
42066-2311
Phone Number
270-247-1104
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...
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