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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