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Organization

RIVERVIEW FAMILY PRACTICE PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK B KINGSTON MD (CLINIC DIRECTOR)
(606) 638-4504
Entity
Organization

Contact information

Practice address
203 S WATER ST, LOUISA, KY 41230-1387
(606) 638-4504
(606) 638-4186
Mailing address
203 S WATER ST, PO BOX 120, LOUISA, KY 41230-1387
(606) 638-4504
(606) 638-4186

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
10/11/2005
Last updated
11/11/2009
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