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Organization

EMPACT MIDWEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC GUERRANT MD (PRESIDENT)
(502) 445-3600
Entity
Organization

Contact information

Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Mailing address
PO BOX 876, DANVILLE, KY 40423-0876
(859) 699-2991

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/13/2020
Last updated
08/14/2025
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