Organization
PAINT LICK FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STROTHER BELANGER MD (MEDICAL DIRECTOR)
(859) 925-2444
Entity
Organization
Contact information
Practice address
11652 HWY 52 RICHMOND ROAD, PAINT LICK, KY 40461-0065
(859) 925-2444
(859) 925-2334
Mailing address
11652 HWY 52 RICHMOND ROAD, PAINT LICK, KY 40461-0065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65909707
—
KY
Enumeration date
02/22/2007
Last updated
08/22/2020
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