Organization
FOUNDATIONS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MCCORMICK APRN (OWNER)
(270) 206-7114
Entity
Organization
Contact information
Practice address
249 MAIN ST, CADIZ, KY 42211-9154
(270) 206-7114
Mailing address
249 MAIN ST, CADIZ, KY 42211-9154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
09/27/2016
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