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Organization
DENHAM MEDICAL CLINIC PSC
Active
Organization
DENHAM MEDICAL CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C DENHAM MD (PHYSICIAN)
(606) 564-9081
Entity
Organization
Contact information
Practice address
525 TUCKER DR, MAYSVILLE, KY 41056-9182
(606) 759-0002
(606) 759-0103
Mailing address
525 TUCKER DR, MAYSVILLE, KY 41056-9182
(606) 759-0002
(606) 759-0103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65945875
—
KY
Enumeration date
05/12/2006
Last updated
11/25/2015
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