Organization
SPRINGFIELD MEDICAL ASSOC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BROWN (OFFICE MANAGER)
(859) 336-7795
Entity
Organization
Contact information
Practice address
219 W MAIN ST, SPRINGFIELD, KY 40069-1228
(859) 336-7795
(859) 336-7020
Mailing address
219 W MAIN ST, SPRINGFIELD, KY 40069-1228
(859) 336-7795
(859) 336-7020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931826
—
KY
Enumeration date
12/22/2005
Last updated
12/21/2023
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