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South Shore Family Medical Clinic
Family Nurse Practitioner in South Shore, Kentucky
NPI 1497232722

South Shore Family Medical Clinic is a Family Nurse Practitioner based in South Shore, KY and is specialized in Family. South Shore Family Medical Clinic practices in South Shore, KY. The NPI Number for South Shore Family Medical Clinic is 1497232722 and holds a License No. 3006463 (Kentucky).

The current practice location address for South Shore Family Medical Clinic is 74 Biggs Ln, South Shore, KY and can be reached out via phone at 606-498-4232.

Location: 74 Biggs Ln, South Shore, KY, 41175-9447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497232722
Provider Name
South Shore Family Medical Clinic
Credential
Provider Entity Type
Organization
Address
74 Biggs Ln, South Shore, KY, 41175-9447
Phone Number
606-498-4232
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
74 Biggs Ln
City
South Shore
State
Kentucky
Zip
41175-7846
Phone Number
606-498-4232
Fax Number
person
Provider Business Mailing Address Details
Address
74 Biggs Ln
City
South Shore
State
Kentucky
Zip
41175-7846
Phone Number
606-498-4232
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3006463 (Kentucky)
Definition
Definition to come...
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