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Organization

HARDIN COUNTY PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAHENDRA M PATEL MD (PRESIDENT)
(270) 765-5112
Entity
Organization

Contact information

Practice address
912 WOODLAND DR, SUITE B, ELIZABETHTOWN, KY 42701-2795
(270) 765-5112
(270) 737-9252
Mailing address
912 WOODLAND DR, SUITE B, ELIZABETHTOWN, KY 42701-2795
(270) 765-5112
(270) 737-9252

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17871
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17871
KY
Enumeration date
02/05/2015
Last updated
02/05/2015
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