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Organization

DIX RIVER FAMILY MEDICINE AND WOMEN'S HEALTH GROU-P

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER DUVALL SIMS MD (PHYSICIAN AND CO-OWNER)
(606) 365-1547
Entity
Organization

Contact information

Practice address
100 JAY ST, STANFORD, KY 40484-7511
(606) 365-1547
(606) 365-8380
Mailing address
PO BOX 330, STANFORD, KY 40484-0330
(606) 365-1547
(606) 365-8380

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3219P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7890069300
KY
Enumeration date
01/02/2007
Last updated
10/04/2023
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