Organization
EDWARDS CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA EDWARDS MD (PRESIDENT)
(606) 598-8766
Entity
Organization
Contact information
Practice address
204 TOWN BRANCH ROAD, MANCHESTER, KY 40962-1322
(606) 598-8766
(606) 598-1903
Mailing address
204 TOWN BRANCH RD, MANCHESTER, KY 40962-1322
(606) 598-8766
(606) 598-1903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
KY
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100157720
—
KY
Enumeration date
07/28/2010
Last updated
04/22/2025
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