# EP MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235863218
- **Authorized official:** JOHN R EASTRIDGE PHARMD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (270) 403-9333

## Contact information

- **Practice address:** 500 N BYPASS RD STE C, CAMPBELLSVILLE, KY 42718-7792
- **Practice address phone:** (270) 789-0577
- **Practice address fax:** (270) 789-0578
- **Mailing address:** 500 N BYPASS RD STE C, CAMPBELLSVILLE, KY 42718-7792
- **Mailing address phone:** (270) 789-0577
- **Mailing address fax:** (270) 789-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 07/14/2022
- **Last updated:** 04/18/2024