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Organization

FYI HEALTHCARE CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN SMITH RICE APRN (CO-OWNER)
(270) 274-0638
Entity
Organization

Contact information

Practice address
1219 N MAIN ST, SUITE 101, BEAVER DAM, KY 42320-8955
(270) 274-0638
(270) 274-5600
Mailing address
1219 N MAIN ST, SUITE 101, BEAVER DAM, KY 42320-8955
(270) 274-0638
(270) 274-5600

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
13394
KY
363LF0000X
Family Nurse Practitioner
Primary
3003830
KY

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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