Organization
BARDSTOWN INTERNAL MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MEECE (OFFICE MANAGER)
(502) 348-1990
Entity
Organization
Contact information
Practice address
810 MORTON AVE STE 202, BARDSTOWN, KY 40004-2549
(502) 348-1990
(502) 348-1954
Mailing address
810 MORTON AVE STE 202, BARDSTOWN, KY 40004-2549
(502) 348-1990
(502) 348-1954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7461
RAILROAD MEDICARE
—
Enumeration date
07/02/2007
Last updated
07/13/2010
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