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FAMILY PRACTICE OF GREENVILLE PSC NPI 1891813986


NPI Information

NPI: 1891813986
Provider Name: FAMILY PRACTICE OF GREENVILLE PSC

Doing Business As: MARSHALL E PRUNTY MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
601 GREENE DR
GREENVILLE, KY
ZIP 42345
Phone: (270) 338-0600
Get Directions

FAMILY PRACTICE OF GREENVILLE PSC is a family medicine in Greenville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY PRACTICE OF GREENVILLE PSC NPI is 1891813986. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Marshall E Prunty Md.

The provider's business location address is:

601 GREENE DR
GREENVILLE, KY
ZIP 42345-451
Phone: (270) 338-0600
Fax: (270) 338-0605

The provider's authorized official is Marshall Edward Prunty .
The authorized official title is Ceo Physician Owner and has the following contact phone number (270) 338-0600.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/4/2011.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine22988KENTUCKYYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080193902OTHERRAILROAD MEDICARE
21846601MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
3000000048338OTHERKENTUCKYANTHEM BCBS
464229883MEDICAIDKENTUCKY
5C74942MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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