Organization
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Active
Other names
Clark Digestive Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
225 HOSPITAL DR, SUITE 200B, WINCHESTER, KY 40391-7676
(859) 737-6488
(859) 737-6649
Mailing address
PO BOX 4140, WINCHESTER, KY 40392-4140
(606) 663-4946
(606) 663-8001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/09/2013
Last updated
03/10/2015
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