Organization
BARDSTOWN PRIMARY CARE, PLLC
Active
Other names
Physicians to Children & Adolescents P.S.C
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO NALLEY (CFO)
(502) 348-7554
Entity
Organization
Contact information
Practice address
102 W DEPOT ST, SPRINGFIELD, KY 40069-1159
(502) 348-6309
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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