Organization
CADIZ FAMILY CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE R. GALLA M.D. (PHYSICIAN/OWNER)
(270) 522-9696
Entity
Organization
Contact information
Practice address
261 MAIN ST, CADIZ, KY 42211-6125
(270) 522-9697
(270) 522-9698
Mailing address
261 MAIN ST, CADIZ, KY 42211-6125
(270) 522-9697
(270) 522-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64312085
—
KY
Enumeration date
09/25/2008
Last updated
09/25/2008
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