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Organization

RADCLIFF URGENT CARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD EMERSON DICK PA (PRIMARY OWNER)
(270) 352-4601
Entity
Organization

Contact information

Practice address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2681
(270) 352-4601
(270) 352-4600
Mailing address
650 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2681
(270) 352-4601
(270) 352-4600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207R00000X
Internal Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/09/2022
Last updated
06/28/2022
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