institution
Southfork Medical Clinic Pllc
Specialist in Whitley City, Kentucky
NPI 1295718757

Southfork Medical Clinic Pllc is a Specialist based in Whitley City, KY. Southfork Medical Clinic Pllc practices in Whitley City, KY. The NPI Number for Southfork Medical Clinic Pllc is 1295718757 and holds a License No. (Kentucky).

The current practice location address for Southfork Medical Clinic Pllc is 71 Medical Ln, Whitley City, KY and can be reached out via phone at 606-376-7212 and via fax at 606-376-7216. You can also correspond with Southfork Medical Clinic Pllc through the mailing address at 71 MEDICAL LN, WHITLEY CITY, KY - 42653-4216 (mailing address contact number: 606-376-7212).

Location: 71 Medical Ln, Whitley City, KY, 42653-4216
institution
Provider Profile Details
NPI Number
1295718757
Provider Name
Southfork Medical Clinic Pllc
Credential
Provider Entity Type
Organization
Address
71 Medical Ln, Whitley City, KY, 42653-4216
Phone Number
606-376-7212
Fax Number
606-376-7216
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07396 01 KY MEDICARE B
35001593 05 KY
institution
Provider Business Practice Location Address Details
Address
71 Medical Ln
City
State
Zip
42653-4216
Phone Number
606-376-7212
Fax Number
606-376-7216
person
Provider Business Mailing Address Details
Address
71 Medical Ln
City
State
Zip
42653-4216
Phone Number
606-376-7212
Fax Number
606-376-7216
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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