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Organization
MOUNTAIN VIEW FAMILY PRACTICE PLLC
Active
Organization
MOUNTAIN VIEW FAMILY PRACTICE PLLC
Active
Other names
MOUNTAIN VIEW FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DUANE KREIS I M.D. (CEO/DOCTOR)
(606) 877-2850
Entity
Organization
Contact information
Practice address
272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 877-2850
(606) 877-2857
Mailing address
272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
(606) 877-2850
(606) 877-2857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/16/2007
Last updated
09/17/2019
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