Organization
MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM B COX ARNP (OWNER/OPERATOR)
(859) 358-4222
Entity
Organization
Contact information
Practice address
108 MANCHESTER SQ SHOPPING CENTER, MANCHESTER, KY 40962-7289
(606) 596-0701
(606) 596-0703
Mailing address
PO BOX 267, RICHMOND, KY 40476-0267
(606) 596-0701
(606) 596-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100257320
—
KY
05
—
7100299490
—
KY
Enumeration date
12/11/2012
Last updated
01/03/2025
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