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Organization

TRI COUNTY HEALTH CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY TINSLEY (OWNER)
(270) 576-0176
Entity
Organization

Contact information

Practice address
13510 FOUNTAIN RUN RD, FOUNTAIN RUN, KY 42133-7915
(270) 434-3100
(270) 434-3102
Mailing address
13510 FOUNTAIN RUN RD, FOUNTAIN RUN, KY 42133-7915
(270) 434-3100
(270) 434-3102

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary

Other

Enumeration date
05/08/2014
Last updated
07/07/2014
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