Organization
ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC
Active
Organization
ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC
Active
Other names
Rockcastle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L. BULLOCK (DIRECTOR)
(606) 256-7761
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-5176
(606) 256-4401
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-5176
(606) 256-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39587
KY
207Q00000X
Family Medicine Physician
64035884
KY
207R00000X
Internal Medicine Physician
Primary
25335
KY
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
PA861
KY
363L00000X
Nurse Practitioner
4217P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205988235
ANGIE PARSON WOODS NPI
—
01
—
1639220916
GINGER MINK CASH NPI
—
01
—
1649298779
NPI MICHAEL KEVIN ROWE
—
01
—
1881760569
KAREN SAYLOR NPI
—
01
—
1912058272
DAVID BULLOCK NPI
—
05
—
64035884
—
KY
05
—
65917437
—
KY
Enumeration date
02/21/2007
Last updated
06/22/2010
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