Organization
TWIN LAKES FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR F DUVALL MD (MEDICAL DIRECTOR)
(270) 242-2311
Entity
Organization
Contact information
Practice address
625 W MAIN ST, CLARKSON, KY 42726-7044
(270) 242-2311
Mailing address
PO BOX 158, CLARKSON, KY 42726-0158
(270) 242-2311
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14881
KY
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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