institution
Pinelake Physician Practice, Llc
Rural Health Clinic/Center in Fulton, Kentucky
NPI 1437623337

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 Fulton, KY. The NPI Number for Pinelake Physician Practice, Llc is 1437623337 and holds a License No. (Kentucky).

The current practice location address for Pinelake Physician Practice, Llc is 101 Main St, Fulton, KY and can be reached out via phone at 270-472-5245 and via fax at 270-472-5249.

Location: 101 Main St, Fulton, KY, 37027-5098
institution
Provider Profile Details
NPI Number
1437623337
Provider Name
Pinelake Physician Practice, Llc
Credential
Provider Entity Type
Organization
Address
101 Main St, Fulton, KY, 37027-5098
Phone Number
270-472-5245
Fax Number
270-472-5249
Provider Enumeration Date
01/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Main St
City
State
Zip
42041-1601
Phone Number
270-472-5245
Fax Number
270-472-5249
person
Provider Business Mailing Address Details
Address
101 Main St
City
State
Zip
42041-1601
Phone Number
270-472-5245
Fax Number
270-472-5249
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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