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Organization

RINEYVILLE FAMILY MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSI LLOYD APRN (OWNER)
(270) 900-1236
Entity
Organization

Contact information

Practice address
423 CRUME RD, VINE GROVE, KY 40175-1130
(270) 900-1236
Mailing address
89 JAKE DR, RINEYVILLE, KY 40162-9462

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100476030
KY
Enumeration date
11/09/2018
Last updated
04/03/2020
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