PRESTONSBURG PRIMARY CARE PLLC NPI 1942554068

NPI Information

PRESTONSBURG PRIMARY CARE PLLC is a family medicine in Prestonsburg, 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. PRESTONSBURG PRIMARY CARE PLLC NPI is 1942554068. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

535 N LAKE DR
PRESTONSBURG, KY
ZIP 41653-278
Phone: (606) 886-8466
Fax: (606) 886-0250

The provider's authorized official is Blake R Burchett .
The authorized official title is Member and has the following contact phone number (606) 886-8466.

The CLIA number assigned to this NPI record is 18D2170198 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 5/5/2015.

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

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