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Organization
SYDNOR ENTERPRISES, LLC
Active
Organization
SYDNOR ENTERPRISES, LLC
Active
Other names
Kentuckiana Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE PATTERSON CLT(C) (EXECUTIVE DIRECTOR)
(270) 495-9773
Entity
Organization
Contact information
Practice address
701 EASTERN BLVD, CLARKSVILLE, IN 47129-2338
(270) 495-9773
Mailing address
941 STATE ST, STE 2, NEW ALBANY, IN 47150-4727
(270) 495-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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