# MARROWBONE FAMILY CLINIC PLLC

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

## Provider details

- **NPI number:** 1831444629
- **Authorized official:** MR. KIM JUSTICE (MANAGER)
- **Authorized official phone:** (606) 205-9344

## Contact information

- **Practice address:** 10363 REGINA BELCHER HWY, ELKHORN CITY, KY 41522
- **Practice address phone:** (606) 205-9344
- **Mailing address:** 140 BILL KING HOLW, PIKEVILLE, KY 41501-9300
- **Mailing address phone:** (606) 205-9344

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 07/17/2012