Organization
KENTUCKY HOSPITAL, LLC
Active
Other names
Clark Immediate Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT RAPLEE (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1934 BYPASS RD, WINCHESTER, KY 40391-2389
(859) 745-1160
(859) 745-7789
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/21/2010
Last updated
03/23/2014
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