Organization
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZKALLA BUTROS (MD/OWNER)
(859) 499-0717
Entity
Organization
Contact information
Practice address
1145 W LEXINGTON AVE FL 2, WINCHESTER, KY 40391-1290
(859) 744-0301
(859) 744-0608
Mailing address
148 SKYVIEW DR, MOUNT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-0926
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100977320
—
KY
Enumeration date
12/02/2019
Last updated
05/31/2024
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