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Organization

FLAT LICK MEDICAL CLINIC PLLC

Active
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Organization

FLAT LICK MEDICAL CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALMADGE V HAYS M.D. (PHYSICIAN)
(606) 542-5900
Entity
Organization

Contact information

Practice address
34 MARY ALICE DR, FLAT LICK, KY 40935-6164
(606) 542-5900
Mailing address
PO BOX 346, FLAT LICK, KY 40935-0346
(606) 542-5900

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14797
KY
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35001338
KY
Enumeration date
06/24/2006
Last updated
09/24/2014
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