Organization
MEANS ADULT PRIMARY CARE CLINIC OF KENTUCKY PLLC
Active
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
1011 BRANDY LN STE A, RICHMOND, KY 40475-8441
(859) 286-7555
(859) 661-4925
Mailing address
148 SKYVIEW DR, MOUNT 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
—
7100960720
—
KY
05
—
7100961550
—
KY
05
—
7100963540
—
KY
05
—
7100966960
—
KY
05
—
7100981520
—
KY
Enumeration date
01/26/2024
Last updated
01/10/2025
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