Organization
THE VILLAGE DOCTOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN A KIMSEY M.D. (OWNER)
(606) 439-1030
Entity
Organization
Contact information
Practice address
3 STERLING LN, HAZARD, KY 41701-9450
(606) 439-1030
(606) 439-1035
Mailing address
3 STERLING LN, HAZARD, KY 41701-9450
(606) 439-1030
(606) 439-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33268
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538227228
NPI
—
05
—
65944001
—
KY
Enumeration date
09/13/2007
Last updated
10/16/2008
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