Organization
MEDICAL POINT OF CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY D BOURNE (OFFICE MANAGER)
(606) 787-8888
Entity
Organization
Contact information
Practice address
112 LIBERTY SQ, LIBERTY, KY 42539
(606) 787-8888
(606) 787-1414
Mailing address
112 LIBERTY SQ, LIBERTY, KY 42539
(606) 787-8888
(606) 787-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312356
BC
KY
05
—
65940090
—
KY
01
—
DA9975
RAILROAD MEDICARE
KY
Enumeration date
09/20/2006
Last updated
11/23/2007
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