Organization
HODGENVILLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PRESTON M.D. (OWNER)
(270) 358-3829
Entity
Organization
Contact information
Practice address
207 WEST MAIN STREET, HODGENVILLE, KY 42748-1559
(270) 358-3829
(270) 358-9350
Mailing address
207 WEST MAIN STREET, HODGENVILLE, KY 42748-1559
(270) 358-3829
(270) 358-9350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64060908
—
KY
Enumeration date
09/05/2019
Last updated
09/11/2019
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