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Icc Medical Llc
Family Nurse Practitioner in Glasgow, Kentucky
NPI 1376730705

Icc Medical Llc is a Family Nurse Practitioner based in Glasgow, KY and is specialized in Family. Icc Medical Llc practices in Glasgow, KY. The NPI Number for Icc Medical Llc is 1376730705 and holds a License No. 4074P (Kentucky).

The current practice location address for Icc Medical Llc is 405 S L Rogers Wells Blvd, Glasgow, KY and can be reached out via phone at 270-834-8892 and via fax at 270-834-8899.

Location: 405 S L Rogers Wells Blvd, Glasgow, KY, 42141-1725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376730705
Provider Name
Icc Medical Llc
Credential
Provider Entity Type
Organization
Address
405 S L Rogers Wells Blvd, Glasgow, KY, 42141-1725
Phone Number
270-834-8892
Fax Number
270-834-8899
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 S L Rogers Wells Blvd
City
Glasgow
State
Kentucky
Zip
42141-1725
Phone Number
270-834-8892
Fax Number
270-834-8899
person
Provider Business Mailing Address Details
Address
405 S L Rogers Wells Blvd
City
Glasgow
State
Kentucky
Zip
42141-1725
Phone Number
270-834-8892
Fax Number
270-834-8899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4074P (Kentucky)
Definition
Definition to come...
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