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Organization

DENHAM MEDICAL CLINIC PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM C DENHAM MD (PHYSICIAN)
(606) 564-9081
Entity
Organization

Contact information

Practice address
525 TUCKER DR, MAYSVILLE, KY 41056-9182
(606) 759-0002
(606) 759-0103
Mailing address
525 TUCKER DR, MAYSVILLE, KY 41056-9182
(606) 759-0002
(606) 759-0103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65945875
KY
Enumeration date
05/12/2006
Last updated
11/25/2015
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