Bluegrass Family Walk-in Clinic LLC
Organization Active NPI Family Medicine Physician · Pikeville, KY
NPI 1124596341 · NPPES record last updated Nov 6, 2018
Key facts
- NPI
- 1124596341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUEGRASS FAMILY WALK-IN CLINIC LLC
- Practice address
- 140 Adams LN Ste 600-700
Pikeville, KY 41501-3087 - Phone
- (606) 509-2000
- NPI assigned
- Nov 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Chadward Lee Thacker, MD
- Title
- Owner
- Phone
- (606) 509-2000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
140 Adams LN Ste 600-700
Pikeville, KY 41501-3087
Mailing address
PO Box 1228
Pikeville, KY 41502-1228
Phone (606) 509-2000
Other providers in Pikeville, KY
- John W Blackburn
- Michelle Lee Blackburn
- Jessica Blair
- Andrea P Blankenship
- Melissa Blankenship
- Bluegrass Oxygen Inc
- Alisha Bolen
- Kelly Cahill Bollard
- Amy K. Bolling
- Olivia Grace Bolling
All providers in Pikeville, 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 Nov 6, 2018. 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.