Organization
SKYLINE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA NELSON (ADMINISTRATOR)
(606) 789-7730
Entity
Organization
Contact information
Practice address
312 MAIN ST, PAINTSVILLE, KY 41240-1044
(606) 789-7730
(606) 789-1028
Mailing address
104 MAIN ST, PAINTSVILLE, KY 41240-1121
(606) 789-7730
(606) 789-1028
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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