Organization
KEITH SINCLAIR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SINCLAIR M.D. (OWNER)
(606) 305-8022
Entity
Organization
Contact information
Practice address
79 IMAGING DR, SOMERSET, KY 42503-2869
(606) 305-8022
(866) 249-9994
Mailing address
225 NESMIN LN, SOMERSET, KY 42503-5659
(606) 416-7485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
28427
KY
208600000X
Surgery Physician
Primary
28427
KY
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100098250
—
KY
Enumeration date
09/21/2009
Last updated
12/14/2015
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