Westlake Primary Care Of Russell County Medical Group

NPI 1023280518 - Radiology - 2085R0202X

NPI Details
NPI 1023280518
Enumeration Date 03/25/2008
Last Updated 03/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name REX A REX
Position CEO, ADMINISTRATOR
Phone (270) 858-3636
Fax (270) 858-3660
Practice Location
2465 LAKEWAY DRIVE
RUSSELL SPRINGS KY, 42642, US
Phone (270) 858-3636
Fax (270) 858-3660
Business Location
2465 LAKEWAY DRIVE
RUSSELL SPRINGS KY, 42642, US
Phone (270) 858-3636
Fax (270) 858-3660
Toxanomy
Taxonomy Code 2085R0202X
License State Kentucky
License Number 28235
Remove 1023280518 NPI Number
 

According to our database, Westlake Primary Care Of Russell County Medical Group NPI is 1023280518, taxonomy code is 2085R0202X and license number is 28235, license state is located at Kentucky. Westlake Primary Care Of Russell County Medical Group physically located at 2465 Lakeway Drive, Russell Springs KY, 42642. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023280518 NPI number is provided on an as is basis without warranty of any kind. 1023280518 is maintained by the National Plan & Provider Enumeration System. The contents of Westlake Primary Care Of Russell County Medical Group are for informational purposes only.