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Liberty Medical Clinic
Family Nurse Practitioner in Liberty, Kentucky
NPI 1477844835

Liberty Medical Clinic is a Family Nurse Practitioner based in Liberty, KY and is specialized in Family. Liberty Medical Clinic practices in Liberty, KY. The NPI Number for Liberty Medical Clinic is 1477844835 and holds a License No. 3004478 (Kentucky).

The current practice location address for Liberty Medical Clinic is 108 Taylor St, Liberty, KY and can be reached out via phone at 606-706-4265 and via fax at 606-706-4275.

Location: 108 Taylor St, Liberty, KY, 42539-3160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477844835
Provider Name
Liberty Medical Clinic
Credential
Provider Entity Type
Organization
Address
108 Taylor St, Liberty, KY, 42539-3160
Phone Number
606-706-4265
Fax Number
606-706-4275
Provider Enumeration Date
04/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447281712 01 KY NPI
7815765 05 KY
institution
Provider Business Practice Location Address Details
Address
108 Taylor St
City
Liberty
State
Kentucky
Zip
42539-3160
Phone Number
606-706-4265
Fax Number
606-706-4275
person
Provider Business Mailing Address Details
Address
108 Taylor St
City
Liberty
State
Kentucky
Zip
42539-3160
Phone Number
606-706-4265
Fax Number
606-706-4275
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3004478 (Kentucky)
Definition
Definition to come...
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