Organization
MEMORIAL HOSPITAL, INC.
Active
Other names
Manchester Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE FARMER (BILLING MANAGER)
(606) 598-5104
Entity
Organization
Contact information
Practice address
94 MARIE LANGDON DR, SUITE 1, MANCHESTER, KY 40962-6353
(606) 599-0396
(606) 599-0586
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
01/13/2021
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