Family Practice Clinic Of Booneville, Inc.
Family Practice Clinic Of Booneville, Inc. is a health care provider in Booneville, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 200 Mulberry St, Suite A, Booneville, KY 41314-7505, US |
|Practice Location Phone||606-593-6023|
|Practice Location Fax||606-593-6087|
|Legal Business Name||FAMILY PRACTICE CLINIC OF BOONEVILLE, INC.|
|Enumeration Date ? ||Aug 18, 2006|
|Last Update Date ? ||Dec 22, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Family Practice Clinic Of Booneville, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|| |
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health |
Legacy Provider IDs of Family Practice Clinic Of Booneville, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Family Practice Clinic Of Booneville, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Family Practice Clinic Of Booneville, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Kim Cox (APRN)|
|Authorized Official Title/Position||OWNER OPERATOR|
|Authorized Official Phone Number||606-593-6023|