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Organization
LEGACY HEALTHCARE, LLC
Active
Organization
LEGACY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M BURRELL (OWNER)
(270) 766-1902
Entity
Organization
Contact information
Practice address
2407 RING RD STE 104, ELIZABETHTOWN, KY 42701-5938
(270) 766-1902
(270) 737-7654
Mailing address
2407 RING RD STE 104, ELIZABETHTOWN, KY 42701-5938
(270) 766-1902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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