Great Physician Health Services
Organization Active NPI Internal Medicine Physician · Russellville, KY
NPI 1013145705 · NPPES record last updated Sep 8, 2009
Key facts
- NPI
- 1013145705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 42900 (KY)
- Legal business name
- GREAT PHYSICIAN HEALTH SERVICES
- Practice address
- 975 Hopkinsville Rd
Russellville, KY 42276-9774 - Phone
- (270) 726-9568
- Fax
- (270) 726-9570
- NPI assigned
- Jul 1, 2009
- Organization subpart
- No
Authorized official
- Name
- Michael Brian Humble, MD
- Title
- Owner
- Phone
- (270) 726-9568
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 42900 | KY | Yes |
Addresses
Primary practice location
975 Hopkinsville Rd
Russellville, KY 42276-9774
Mailing address
975 Hopkinsville Rd
Russellville, KY 42276-9774
Phone (270) 726-9568
Other providers in Russellville, KY
- Abigail Freeman
- La'Coya Dayani Garrard
- Melinda Gill
- Katherine Hindman Gilliam
- Lawrence J. Gotts
- David Guion
- Allison Gunderson
- Bryson Hall
- Janet Hall
- Michelle R Ham
All providers in Russellville, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.