Organization
AFTER HOUR CARE OF KENTUCKIANA, INC.
Active
Other names
Extra Hour Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE KENNETH PETERS M.D. (CHAIRMAN & CEO)
(502) 297-8900
Entity
Organization
Contact information
Practice address
10216 TAYLORSVILLE RD, SUITE 500B, JEFFERSONTOWN, KY 40299-3616
(502) 297-8900
(502) 240-5654
Mailing address
10216 TAYLORSVILLE RD, SUITE 500B, JEFFERSONTOWN, KY 40299-3616
(502) 297-8900
(502) 240-5654
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
0486610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50008530
PASSPORT-JTOWN
KY
01
—
50009143
PASSPORT- CENTRAL STATION
KY
05
—
65944738
—
KY
Enumeration date
01/23/2007
Last updated
08/22/2020
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