# NORSWORTHY MEDICAL ASSOC., PSC NURSE PRACTITIONER GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538284708
- **Authorized official:** DR. ERIC A NORSWORTHY M.D. (OWNER)
- **Authorized official phone:** (270) 274-1800

## Contact information

- **Practice address:** 1219 N MAIN ST, BEAVER DAM, KY 42320-8955
- **Practice address phone:** (270) 274-1800
- **Practice address fax:** (270) 274-5600
- **Mailing address:** 1219 N MAIN ST, BEAVER DAM, KY 42320-8955
- **Mailing address phone:** (270) 274-1800
- **Mailing address fax:** (270) 274-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3830P | KY | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7890042000 | — | KY |