Organization
4SEEDS MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PETTUS M.D. (OWNER)
(859) 324-1434
Entity
Organization
Contact information
Practice address
7786 LEXINGTON RD, LANCASTER, KY 40444-9119
(859) 324-1434
Mailing address
PO BOX 2185, DANVILLE, KY 40423-2185
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
41148
KY
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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