LETEK PLLC NPI 1043766801

NPI Information

LETEK PLLC is a primary care clinic center in Mount Vernon, KY. LETEK PLLC NPI is 1043766801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

942 W MAIN ST UNIT B
MOUNT VERNON, KY
ZIP 40456-523
Phone: (731) 571-9223
Fax: (931) 901-1239

The provider's authorized official is Thomas William Fowles .
The authorized official title is Owner and has the following contact phone number (859) 358-3069.

The CLIA number assigned to this NPI record is 18D2126208 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 3/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.