Organization
FAST PACE KENTUCKY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENSON (COO)
(931) 253-1110
Entity
Organization
Contact information
Practice address
1000 W PARK DR, LAWRENCEBURG, KY 40342-8074
(931) 253-1110
Mailing address
PO BOX 306414, NASHVILLE, TN 37230-6414
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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