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Organization
AFTER HOUR CARE OF KENTUCKIANA, INC.
Active
Organization
AFTER HOUR CARE OF KENTUCKIANA, INC.
Active
Other names
Extra Hour Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE KENNETH PETERS M.D. (CHAIRMAN & CEO)
(502) 297-8900
Entity
Organization
Contact information
Practice address
10216 TAYLORSVILLE RD, SUITE 500B, JEFFERSONTOWN, KY 40299-3616
(502) 297-8900
(502) 240-5654
Mailing address
10216 TAYLORSVILLE RD, SUITE 500B, JEFFERSONTOWN, KY 40299-3616
(502) 297-8900
(502) 240-5654
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
0486610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50008530
PASSPORT-JTOWN
KY
01
—
50009143
PASSPORT- CENTRAL STATION
KY
05
—
65944738
—
KY
Enumeration date
01/23/2007
Last updated
08/22/2020
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