Clark Regional Physician Practices, Llc

NPI 1114282605 - Family Medicine - 207Q00000X

NPI Details
NPI 1114282605
Enumeration Date 07/10/2012
Last Updated 06/05/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TIMOTHY D TIMOTHY
Position VICE PRESIDENT
Phone (859) 737-8528
Fax (859) 737-8529
Practice Location
225 HOSPITAL DR
WINCHESTER KY, 40391-7604, US
Phone (859) 737-8528
Fax (859) 737-8529
Business Location
PO BOX 1537
GEORGETOWN KY, 40324-6537, US
Phone (855) 876-2412
Fax (502) 570-5610
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Clark Regional Physician Practices, Llc NPI is 1114282605, taxonomy code is 207Q00000X Clark Regional Physician Practices, Llc physically located at 225 Hospital Dr, Winchester KY, 40391-7604. NPI Number 1033115704 has the healthcare provider type.

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1114282605 NPI number is provided on an as is basis without warranty of any kind. 1114282605 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Regional Physician Practices, Llc are for informational purposes only.