Organization
FULL URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FULLER (OWNER/MANAGER)
(270) 256-2932
Entity
Organization
Contact information
Practice address
1116 S MAIN ST STE 5B, MORGANTOWN, KY 42261-9832
(270) 274-9221
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
(270) 288-5085
(270) 288-5086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100709320
—
KY
Enumeration date
12/09/2020
Last updated
01/13/2022
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