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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.

physician-icon Basic Information

Practice Location 200 Mulberry St, Suite A, Booneville, KY 41314-7505, US
Practice Location Phone606-593-6023
Practice Location Fax606-593-6087
Legal Business NameFAMILY PRACTICE CLINIC OF BOONEVILLE, INC.
NPI ?1326152109
Entity TypeOrganization
Enumeration Date ? Aug 18, 2006
Last Update Date ? Dec 22, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Family Practice Clinic Of Booneville, Inc.

SpecialtySpecializationLicenseLicense State
Family Medicine
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Family Practice Clinic Of Booneville, Inc.

Provider IdIssuer StateIssuer TypeIssuer
7100159610KentuckyMedicaid

official-icon 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/PositionOWNER OPERATOR
Authorized Official Phone Number606-593-6023