Organization
GEORGETOWN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A KING (PRACTICE MANAGER)
(502) 863-0722
Entity
Organization
Contact information
Practice address
200 BEVINS LN STE A, GEORGETOWN, KY 40324-8532
(502) 863-0722
(502) 863-0731
Mailing address
200 BEVINS LN STE A, GEORGETOWN, KY 40324-8532
(502) 863-0722
(502) 863-0731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
08/01/2025
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