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Pinelake Physician Practice, Llc
Rural Health Clinic/Center in Mayfield, Kentucky
NPI 1841900347

Pinelake Physician Practice, Llc is a Rural Health Clinic/Center based in Brentwood, KY and is specialized in Rural Health. Pinelake Physician Practice, Llc practices in Mayfield, KY. The NPI Number for Pinelake Physician Practice, Llc is 1841900347 and holds a License No. (Kentucky).

The current practice location address for Pinelake Physician Practice, Llc is 1029 Medical Center Cir Ste 204, Mayfield, KY and can be reached out via phone at 270-251-4545.

Location: 1029 Medical Center Cir Ste 204, Mayfield, KY, 37027-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841900347
Provider Name
Pinelake Physician Practice, Llc
Credential
Provider Entity Type
Organization
Address
1029 Medical Center Cir Ste 204, Mayfield, KY, 37027-5098
Phone Number
270-251-4545
Fax Number
Provider Enumeration Date
11/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1029 Medical Center Cir Ste 204
City
Mayfield
State
Kentucky
Zip
42066-1189
Phone Number
270-251-4545
Fax Number
person
Provider Business Mailing Address Details
Address
1029 Medical Center Cir Ste 204
City
Mayfield
State
Kentucky
Zip
42066-1189
Phone Number
270-251-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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