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Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Other names
Knott County Family Healthcare West
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY NOLEN (VICE PRESIDENT)
(606) 598-5104
Entity
Organization
Contact information
Practice address
86 SAVANNAH LANE, BULAN, KY 41722
(606) 598-5104
(606) 598-0983
Mailing address
509 MEMORIAL DR, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
01/13/2021
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