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Organization

EPHRAIM MCDOWELL HEALTH RESOURCE, INC

Active
Other names
Ephraim McDowell Stanford Medical Offices
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL MCKAY III (CEO)
(859) 239-2409
Entity
Organization

Contact information

Practice address
125 PORTMAN AVE, STANFORD, KY 40484-1229
(606) 365-3378
(606) 365-3381
Mailing address
125 PORTMAN AVE, STANFORD, KY 40484-1229
(606) 365-3378
(606) 365-3381

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207V00000X
Obstetrics & Gynecology Physician
363LF0000X
Family Nurse Practitioner
363LX0001X
Obstetrics & Gynecology Nurse Practitioner

Other

Enumeration date
08/12/2014
Last updated
09/10/2021
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