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Organization
WELLMONT PHYSICIAN SERVICES INC
Active
Organization
WELLMONT PHYSICIAN SERVICES INC
Active
Other names
dba Elkhorn City Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY M LOCKE SR. CPC, CCS-P (BILLING ADMINISTRATOR)
(423) 224-3250
Entity
Organization
Contact information
Practice address
905 W RUSSELL ST, ELKHORN CITY, KY 41522-7071
(606) 754-4158
(606) 754-5452
Mailing address
PO BOX 37024, BALTIMORE, MD 21297-3024
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
208D00000X
General Practice Physician
—
KY
Other
Enumeration date
12/03/2007
Last updated
09/22/2008
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