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Organization
EPHRAIM MCDOWELL HEALTH RESOURCE, INC
Active
Organization
EPHRAIM MCDOWELL HEALTH RESOURCE, INC
Active
Other names
Ephraim McDowell Stanford Medical Offices
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MCKAY III (CEO)
(859) 239-2409
Entity
Organization
Contact information
Practice address
125 PORTMAN AVE, STANFORD, KY 40484-1229
(606) 365-3378
(606) 365-3381
Mailing address
125 PORTMAN AVE, STANFORD, KY 40484-1229
(606) 365-3378
(606) 365-3381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
08/12/2014
Last updated
09/10/2021
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