Organization
TOMPKINSVILLE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BEAN (OFFICE MANAGER/OWNER)
(270) 487-0551
Entity
Organization
Contact information
Practice address
901 N MAIN ST, BOX 476, TOMPKINSVILLE, KY 42167-1004
(270) 487-0551
(270) 487-0841
Mailing address
901 N MAIN ST, BOX 476, TOMPKINSVILLE, KY 42167-1004
(270) 487-0551
(270) 487-0841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934713
—
KY
Enumeration date
08/30/2006
Last updated
12/30/2014
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