Frederick Medical Clinic, Psc

NPI 1194829812 - Clinic/Center - 261QR1300X

NPI Details
NPI 1194829812
Enumeration Date 09/12/2006
Last Updated 04/11/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES DENZIL JAMES
Position ADMINISTRATION MEDICAL DIRECTOR
Phone (606) 743-3114
Fax (606) 743-1404
Practice Location
430 LIBERTY RD
WEST LIBERTY KY, 41472-2049, US
Phone (606) 743-3114
Fax (606) 743-1404
Business Location
PO BOX 607
WEST LIBERTY KY, 41472-0607, US
Phone (606) 743-3114
Fax (606) 743-1404
Toxanomy
Taxonomy Code 261QR1300X
License State Kentucky
License Number 183940
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According to our database, Frederick Medical Clinic, Psc NPI is 1194829812, taxonomy code is 261QR1300X and license number is 183940, license state is located at Kentucky. Frederick Medical Clinic, Psc physically located at 430 Liberty Rd, West Liberty KY, 41472-2049. NPI Number 1033115704 has the healthcare provider type.

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1194829812 NPI number is provided on an as is basis without warranty of any kind. 1194829812 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Medical Clinic, Psc are for informational purposes only.