Organization
KNOTT COUNTY FAMILY HEALTHCARE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D. SPADY D.O. (MEDICAL DIRECTOR)
(606) 785-9440
Entity
Organization
Contact information
Practice address
70 HOLLY HILLS MALL RD, HINDMAN, KY 41822-9121
(606) 785-9440
(606) 785-9645
Mailing address
70 HOLLY HILLS MALL RD, HINDMAN, KY 41822-9121
(606) 785-9440
(606) 785-9645
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001379
—
KY
Enumeration date
07/30/2006
Last updated
11/14/2012
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