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Organization
KENTUCKY HOSPITAL LLC
Active
Organization
KENTUCKY HOSPITAL LLC
Active
Other names
Clark Regional Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
120 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-2485
(859) 744-0062
Mailing address
120 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-2485
(859) 744-0062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
04/22/2022
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