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Organization
RADCLIFF URGENT CARE CLINIC LLC
Active
Organization
RADCLIFF URGENT CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD EMERSON DICK PA (PRIMARY OWNER)
(270) 352-4601
Entity
Organization
Contact information
Practice address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2681
(270) 352-4601
(270) 352-4600
Mailing address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2681
(270) 352-4601
(270) 352-4600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/09/2022
Last updated
06/28/2022
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