Organization
HOME TOWN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE LYNN PUCKETT APRN (OWNER)
(606) 726-0200
Entity
Organization
Contact information
Practice address
101 RIVER DR, IRVINE, KY 40336-1117
(606) 726-0200
(606) 726-0226
Mailing address
101 RIVER DR, IRVINE, KY 40336-1117
(606) 726-0200
(606) 726-0226
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
03/21/2018
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