Organization
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZKALLA BUTROS MD (OWNER)
(859) 499-0717
Entity
Organization
Contact information
Practice address
148 SKYVIEW DR., MT STERLING, KY 40353-1300
(859) 499-0717
(859) 499-0926
Mailing address
148 SKYVIEW DR, MT STERLING, KY 40353-1496
(859) 499-0717
(859) 499-0926
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100636790
—
KY
Enumeration date
09/21/2006
Last updated
05/10/2024
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