Organization
CLARK EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DEAN DO (MEMBER MANAGER)
(215) 858-2323
Entity
Organization
Contact information
Practice address
175 HOSPITAL DR, WINCHESTER, KY 40391-9591
(859) 737-6500
(859) 737-6601
Mailing address
25 E HICKMAN ST, WINCHESTER, KY 40391-2448
(859) 901-0012
(859) 901-0015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/09/2017
Last updated
08/03/2023
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