institution
South Oldham Medical Clinic Psc
General Practice Physician in Crestwood, Kentucky
NPI 1922142983

South Oldham Medical Clinic Psc is a General Practice Physician based in Crestwood, KY. South Oldham Medical Clinic Psc practices in Crestwood, KY. The NPI Number for South Oldham Medical Clinic Psc is 1922142983 and holds a License No. 30373 (Kentucky).

The current practice location address for South Oldham Medical Clinic Psc is 6520 W Hwy 22, Crestwood, KY and can be reached out via phone at 502-241-8488 and via fax at 502-241-7424.

Location: 6520 W Hwy 22, Crestwood, KY, 40014
institution
Provider Profile Details
NPI Number
1922142983
Provider Name
South Oldham Medical Clinic Psc
Credential
Provider Entity Type
Organization
Address
6520 W Hwy 22, Crestwood, KY, 40014
Phone Number
502-241-8488
Fax Number
502-241-7424
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64303738 05 KY
institution
Provider Business Practice Location Address Details
Address
6520 W Hwy 22
City
State
Zip
40014
Phone Number
502-241-8488
Fax Number
502-241-7424
person
Provider Business Mailing Address Details
Address
6520 W Hwy 22
City
State
Zip
40014
Phone Number
502-241-8488
Fax Number
502-241-7424
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
30373 (Kentucky)
Definition
Definition to come...
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