Ack Healthcare Management, Llc

NPI 1154748986 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1154748986
Enumeration Date 03/18/2014
Last Updated 06/22/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHARLES CHARLES
Position OWNER/MEMBER
Phone (270) 295-3890
Fax (270) 295-3891
Practice Location
1520 4TH ST
LEWISPORT KY, 42351-2529, US
Phone (270) 295-3890
Fax (270) 295-3891
Business Location
PO BOX 1099
OWENSBORO KY, 42302-1099, US
Phone (270) 295-3890
Fax (270) 295-3891
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Ack Healthcare Management, Llc NPI is 1154748986, taxonomy code is 363L00000X Ack Healthcare Management, Llc physically located at 1520 4th St, Lewisport KY, 42351-2529. NPI Number 1033115704 has the healthcare provider type.

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1154748986 NPI number is provided on an as is basis without warranty of any kind. 1154748986 is maintained by the National Plan & Provider Enumeration System. The contents of Ack Healthcare Management, Llc are for informational purposes only.