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

SOUTHFORK MEDICAL CLINIC PLLC

Active Organization

SOUTHFORK MEDICAL CLINIC PLLC is a Specialist organization located in WHITLEY CITY, Kentucky. NPI 1295718757 is currently active in the NPPES registry. Verify at CMS.

Specialist · WHITLEY CITY, KY

Registration Details

NPI Number
1295718757
Provider Type
Organization
NPI Issued
Nov 29, 2005 (20.747177447681 yrs)
Last Updated
Aug 23, 2011

Practice Information

Address
71 MEDICAL LN
WHITLEY CITY, KY, 426534216
Browse KY providers · Browse ZIP 42653
Phone
6063767212
Fax
6063767216
Primary Specialty
Specialist
174400000X
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.