Organization
KENTUCKY MOUNTAIN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY M MEADOWS BSN (CO-OWNER)
(606) 433-0404
Entity
Organization
Contact information
Practice address
101 HIBBARD ST STE 100, PIKEVILLE, KY 41501-1788
(606) 433-0404
(606) 432-0405
Mailing address
101 HIBBARD ST STE 100, PIKEVILLE, KY 41501-1788
(606) 433-0404
(606) 432-0405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02719
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D1083376
CLIA
KY
Enumeration date
02/27/2008
Last updated
01/18/2019
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