Organization
PARKWAY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY REYNOLDS (OFFICE MANAGER)
(606) 598-5115
Entity
Organization
Contact information
Practice address
454 MANCHESTER SQUARE SHPG CTR, MANCHESTER, KY 40962-8781
(606) 598-5115
(606) 598-7179
Mailing address
PO BOX 369, MANCHESTER, KY 40962-0369
(606) 598-5115
(606) 598-7179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65920480
—
KY
Enumeration date
06/12/2008
Last updated
06/12/2008
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