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E'town Lung Specialist, Psc
Medical Specialty Clinic/Center in Elizabethtown, Kentucky
NPI 1790797702

E'town Lung Specialist, Psc is a Medical Specialty Clinic/Center based in Elizabethtown, KY and is specialized in Medical Specialty. E'town Lung Specialist, Psc practices in Elizabethtown, KY. The NPI Number for E'town Lung Specialist, Psc is 1790797702 and holds a License No. (Kentucky).

The current practice location address for E'town Lung Specialist, Psc is 914 N Dixie Ave, Elizabethtown, KY and can be reached out via phone at 270-735-9066 and via fax at 270-735-9036.

Location: 914 N Dixie Ave, Elizabethtown, KY, 42701-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790797702
Provider Name
E'town Lung Specialist, Psc
Credential
Provider Entity Type
Organization
Address
914 N Dixie Ave, Elizabethtown, KY, 42701-2520
Phone Number
270-735-9066
Fax Number
270-735-9036
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64328784 05 KY
290014995 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
914 N Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-2520
Phone Number
270-735-9066
Fax Number
270-735-9036
person
Provider Business Mailing Address Details
Address
914 N Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-2520
Phone Number
270-735-9066
Fax Number
270-735-9036
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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