Organization
ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC
Active
Other names
Mt. Vernon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BULLOCK (DIRECTOR)
(606) 256-7761
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12635
KY
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
03104
KY
207RR0500X
Rheumatology Physician
40266
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114934056
SUSAN ARNOLD, MD NPI NUMB
—
01
—
1265559389
HESSLER NPI
—
01
—
1639180680
MARA CHAMBERS MD NPI #
—
01
—
1700840444
KIMBERLY CORNELIUS NPI #
—
01
—
1861619348
FLOREA NPI
—
01
—
1932162005
WILLIAM MCELWAIN NPI
—
05
—
65921710
—
KY
Enumeration date
12/18/2006
Last updated
05/21/2010
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