Organization
BRECK URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA PATEL M.D. (OWNER)
(270) 547-7161
Entity
Organization
Contact information
Practice address
205 W US 60, IRVINGTON, KY 40146
(270) 547-7161
(270) 547-7163
Mailing address
PO BOX 147, IRVINGTON, KY 40146-0147
(270) 547-7161
(270) 547-7163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64209844
—
KY
Enumeration date
08/31/2016
Last updated
08/31/2016
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