Organization
JOSEPH PRATHER II PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA G JEFFRIES (OFFICE MANAGER)
(270) 763-6363
Entity
Organization
Contact information
Practice address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 763-6363
(270) 763-1247
Mailing address
100 HELMWOOD PLAZA DR, ELIZABETHTOWN, KY 42701-2975
(270) 763-6363
(270) 763-1247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00485
MEDICARE GROUP #
KY
Enumeration date
07/20/2006
Last updated
12/13/2007
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