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Smith's Hometown Family Practice, Llc
Clinic/Center in Manchester, Kentucky
NPI 1275934614

Smith's Hometown Family Practice, Llc is a Clinic/Center based in Manchester, KY. Smith's Hometown Family Practice, Llc practices in Manchester, KY. The NPI Number for Smith's Hometown Family Practice, Llc is 1275934614 and holds a License No. 3006073 (Kentucky).

The current practice location address for Smith's Hometown Family Practice, Llc is 359 Old Us Highway 421, Manchester, KY and can be reached out via phone at 606-599-8905 and via fax at 606-599-0354.

Location: 359 Old Us Highway 421, Manchester, KY, 40962-7538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275934614
Provider Name
Smith's Hometown Family Practice, Llc
Credential
Provider Entity Type
Organization
Address
359 Old Us Highway 421, Manchester, KY, 40962-7538
Phone Number
606-599-8905
Fax Number
606-599-0354
Provider Enumeration Date
09/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100100870 05 KY
11996475 01 KY CAQH
institution
Provider Business Practice Location Address Details
Address
359 Old Us Highway 421
City
Manchester
State
Kentucky
Zip
40962-7538
Phone Number
606-599-8905
Fax Number
606-599-0354
person
Provider Business Mailing Address Details
Address
359 Old Us Highway 421
City
Manchester
State
Kentucky
Zip
40962-7538
Phone Number
606-599-8905
Fax Number
606-599-0354
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3006073 (Kentucky)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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