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Organization

RIVERSTONE FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALLISON NICOLE BREWER APRN (APRN/OWNER)
(606) 434-6147
Entity
Organization

Contact information

Practice address
258 N LEVISA RD, MOUTHCARD, KY 41548-8117
(606) 434-6147
Mailing address
19777 GRAPEVINE RD, PHYLLIS, KY 41554-8819
(606) 434-6147

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
06/23/2022
Last updated
06/23/2022
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