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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 1295960532 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · MAYFIELD, KY

Registration Details

NPI Number
1295960532
Provider Type
Organization
NPI Issued
May 15, 2009 (17.260168285477 yrs)
Last Updated
May 8, 2023

Practice Information

Address
1111 MEDICAL CENTER CIR
MAYFIELD, KY, 420661194
Browse KY providers · Browse ZIP 42066
Phone
2702514543
Fax
2702514544
Primary Specialty
Rural Health Clinic
261QR1300X
Additional Specialty
Rural Health Clinic
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.