Organization
OPTIMA HEALTH, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN SUE HARRIS DO (AUTHORIZED AGENT)
(270) 283-4638
Entity
Organization
Contact information
Practice address
138 CAMPBELLSVILLE BYP, SUITE 5, CAMPBELLSVILLE, KY 42718-8843
(270) 283-4638
(270) 283-4639
Mailing address
138 CAMPBELLSVILLE BYP, SUITE 5, CAMPBELLSVILLE, KY 42718-8843
(270) 283-4638
(270) 283-4639
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
03286
KY
261QP2300X
Primary Care Clinic/Center
03286
KY
261QU0200X
Urgent Care Clinic/Center
03286
KY
Other
Enumeration date
09/02/2011
Last updated
01/30/2013
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