Organization
EASTERN PULASKI RURAL HEALTH CLINIC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNN WILLIAMSON APRN (APRN)
(606) 485-4553
Entity
Organization
Contact information
Practice address
31 MARK SHOPVILLE RD, SOMERSET, KY 42503
(606) 636-4214
(606) 636-4215
Mailing address
31 MARK SHOPVILLE RD, SOMERSET, KY 42503
(606) 636-4214
(606) 636-4215
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900286
KY
Other
Enumeration date
06/26/2013
Last updated
03/03/2015
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