institution
Bourbon Physician Practice Llc
Family Nurse Practitioner in Carlisle, Kentucky
NPI 1356689079

Bourbon Physician Practice Llc is a Family Nurse Practitioner based in Carlisle, KY and is specialized in Family. Bourbon Physician Practice Llc practices in Carlisle, KY. The NPI Number for Bourbon Physician Practice Llc is 1356689079 and holds a License No. (Kentucky).

The current practice location address for Bourbon Physician Practice Llc is 107 S Broadway St, Carlisle, KY and can be reached out via phone at 859-289-4124 and via fax at 859-289-4126.

Location: 107 S Broadway St, Carlisle, KY, 40311-1150
institution
Provider Profile Details
NPI Number
1356689079
Provider Name
Bourbon Physician Practice Llc
Credential
Provider Entity Type
Organization
Address
107 S Broadway St, Carlisle, KY, 40311-1150
Phone Number
859-289-4124
Fax Number
859-289-4126
Provider Enumeration Date
01/30/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
107 S Broadway St
City
State
Zip
40311-1150
Phone Number
859-289-4124
Fax Number
859-289-4126
person
Provider Business Mailing Address Details
Address
107 S Broadway St
City
State
Zip
40311-1150
Phone Number
859-289-4124
Fax Number
859-289-4126
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
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
License No.
(Kentucky)
Definition
Definition to come...
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