# LEGACY HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1558025908
- **Authorized official:** DANA M BURRELL (OWNER)
- **Authorized official phone:** (270) 766-1902

## Contact information

- **Practice address:** 2407 RING RD STE 104, ELIZABETHTOWN, KY 42701-5938
- **Practice address phone:** (270) 766-1902
- **Practice address fax:** (270) 737-7654
- **Mailing address:** 2407 RING RD STE 104, ELIZABETHTOWN, KY 42701-5938
- **Mailing address phone:** (270) 766-1902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2021
- **Last updated:** 10/22/2021