Eastern Ky Heatlhcare Center
Organization Active NPI Family Medicine Physician · Minnie, KY
NPI 1043346562 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043346562
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 29774 (KY)
- Legal business name
- EASTERN KY HEATLHCARE CENTER
- Practice address
- 8535 Ky RT 122
Minnie, KY 41651 - Phone
- (606) 478-4287
- Fax
- (606) 478-4288
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Jack Kendrick, MD
- Title
- Physician
- Phone
- (606) 478-4287
Practitioners 2
-
Michael N. Williams, P.A.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 29774 | KY | Yes |
Addresses
Primary practice location
8535 Ky RT 122
Minnie, KY 41651
Mailing address
PO Box 100
Minnie, KY 41651-0100
Phone (606) 478-4287
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANTHEM BLUE CROSS | Other | KY | 000000336367 |
| DD7592 | Other | KY | PALMETTO GBA |
| 65941668 | Medicaid | KY |
Other providers in Minnie, KY
- A Step Forward, LLC
- Valeire D Akers
- Betsy Layne Primary Care, PLLC
- Betsy Layne Primary Care, PLLC
- McKinney Family Dentistry LLC
- Michael Kent McKinney Jr.
- Veronica Dawn McKinney
- Michael K McKinney DMD PSC
- Kristy Ladawn Moore
All providers in Minnie, KY · Family 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 Aug 22, 2020. 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.