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Main Street Clinic, Llc
Family Nurse Practitioner in Cumberland, Kentucky
NPI 1477930246

Main Street Clinic, Llc is a Family Nurse Practitioner based in Cumberland, KY and is specialized in Family. Main Street Clinic, Llc practices in Cumberland, KY. The NPI Number for Main Street Clinic, Llc is 1477930246 and holds a License No. 3008624 (Kentucky).

The current practice location address for Main Street Clinic, Llc is 900 E Main St, Cumberland, KY and can be reached out via phone at 606-233-1132.

Location: 900 E Main St, Cumberland, KY, 40823-0320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477930246
Provider Name
Main Street Clinic, Llc
Credential
Provider Entity Type
Organization
Address
900 E Main St, Cumberland, KY, 40823-0320
Phone Number
606-233-1132
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100298620 05 KY
institution
Provider Business Practice Location Address Details
Address
900 E Main St
City
Cumberland
State
Kentucky
Zip
40823-1714
Phone Number
606-233-1132
Fax Number
person
Provider Business Mailing Address Details
Address
900 E Main St
City
Cumberland
State
Kentucky
Zip
40823-1714
Phone Number
606-233-1132
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3008624 (Kentucky)
Definition
Definition to come...
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