institution
Practitioner Services Pllc
Rural Health Clinic/Center in London, Kentucky
NPI 1821482118

Practitioner Services Pllc is a Rural Health Clinic/Center based in London, KY and is specialized in Rural Health. Practitioner Services Pllc practices in London, KY. The NPI Number for Practitioner Services Pllc is 1821482118 and holds a License No. (Kentucky).

The current practice location address for Practitioner Services Pllc is 1102 S Main St, London, KY and can be reached out via phone at 606-770-5121 and via fax at 606-770-5199.

Location: 1102 S Main St, London, KY, 40741-1529
institution
Provider Profile Details
NPI Number
1821482118
Provider Name
Practitioner Services Pllc
Credential
Provider Entity Type
Organization
Address
1102 S Main St, London, KY, 40741-1529
Phone Number
606-770-5121
Fax Number
606-770-5199
Provider Enumeration Date
03/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B0-3893 01 KY CMS CERT# FOR RURAL HEALTH CLINIC DESIGNATION
institution
Provider Business Practice Location Address Details
Address
1102 S Main St
City
State
Zip
40741-1529
Phone Number
606-770-5121
Fax Number
606-770-5199
person
Provider Business Mailing Address Details
Address
1102 S Main St
City
State
Zip
40741-1529
Phone Number
606-770-5121
Fax Number
606-770-5199
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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