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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 1679061071 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · MAYFIELD, KY

Registration Details

NPI Number
1679061071
Provider Type
Organization
NPI Issued
May 1, 2018 (8.2989444224816 yrs)
Last Updated
May 1, 2018

Practice Information

Address
110 S 9TH ST
MAYFIELD, KY, 420662208
Browse KY providers · Browse ZIP 42066
Phone
2702477795
Fax
2702472602
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.