Organization
KENTUCKY HOSPITAL LLC
Active
Other names
Clark Regional Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
120 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-2485
(859) 744-0062
Mailing address
120 PROFESSIONAL AVE, WINCHESTER, KY 40391-1116
(859) 744-2485
(859) 744-0062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
04/22/2022
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