Organization
ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC
Active
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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