Organization
FAST PACE KENTUCKY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(901) 351-1791
Entity
Organization
Contact information
Practice address
1475 NASHVILLE RD, FRANKLIN, KY 42134-6961
(931) 253-1110
Mailing address
6550 CAROTHERS PKWY STE 225, FRANKLIN, TN 37067-6662
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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