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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PINELAKE PHYSICIAN PRACTICE LLC

Active Organization

PINELAKE PHYSICIAN PRACTICE LLC is a Rural Health Clinic organization located in MAYFIELD, Kentucky. NPI 1093609612 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · MAYFIELD, KY

Registration Details

NPI Number
1093609612
Provider Type
Organization
NPI Issued
Jun 6, 2025 (1.2012857552274 yrs)
Last Updated
Jun 6, 2025

Practice Information

Address
1206 PARIS RD STE B
MAYFIELD, KY, 420664989
Browse KY providers · Browse ZIP 42066
Phone
2708047160
Primary Specialty
Rural Health Clinic
261QR1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.