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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