Organization
KC CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER BUTLER (AUTHORIZED OFFICIAL)
(270) 885-1524
Entity
Organization
Contact information
Practice address
815 COUNTRY CLUB LN, HOPKINSVILLE, KY 42240-1346
(270) 885-1524
Mailing address
815 COUNTRY CLUB LN, HOPKINSVILLE, KY 42240-1346
(270) 885-1524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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