Organization
ROCKCASTLE VENTURES D.B.A. ROCKCASTLE FAMILY HEALTH
Active
Other names
Rockcastle Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L. BULLOCK (DIRECTOR)
(606) 256-7761
Entity
Organization
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2728
(606) 256-4148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65939472
—
KY
Enumeration date
04/04/2007
Last updated
08/22/2020
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