Brock Medical, Llc

NPI 1023379815 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1023379815
Enumeration Date 06/07/2012
Last Updated 12/04/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROB ROB
Position OFFICER
Phone (606) 330-0055
Fax (888) 467-5236
Practice Location
1752 HIGHWAY 192 W
SUITE 1
LONDON KY, 40741-1675, US
Phone (606) 330-0055
Fax (888) 467-5236
Business Location
3406 SPRINGBROOK DR
NASHVILLE TN, 37204-3403, US
Phone (615) 969-8678
Fax (606) 330-0061
Toxanomy
Taxonomy Code 363L00000X
License State Kentucky
License Number 3005556
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According to our database, Brock Medical, Llc NPI is 1023379815, taxonomy code is 363L00000X and license number is 3005556, license state is located at Kentucky. Brock Medical, Llc physically located at 1752 Highway 192 W, London KY, 40741-1675. NPI Number 1033115704 has the healthcare provider type.

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1023379815 NPI number is provided on an as is basis without warranty of any kind. 1023379815 is maintained by the National Plan & Provider Enumeration System. The contents of Brock Medical, Llc are for informational purposes only.