Manchester Family Practice Clinic | |
2734 S Highway 421 Manchester KY 40962-7515 | |
(606) 599-0609 | |
(606) 599-8419 |
Full Name | Manchester Family Practice Clinic |
---|---|
Speciality | Family Medicine |
Location | 2734 S Highway 421, Manchester, Kentucky |
Authorized Official Name and Position | Robert A. Carter (PRESIDENT) |
Authorized Official Contact | 6065280283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manchester Family Practice Clinic Po Box 1125 Corbin KY 40702-1125 Ph: (606) 528-0283 | Manchester Family Practice Clinic 2734 S Highway 421 Manchester KY 40962-7515 Ph: (606) 599-0609 |
NPI Number | 1447201207 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447201207 | NPI | - | NPPES |
35001072 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 900112 (Kentucky) | Primary |
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› Verified 9 days ago
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