Westlake Primary Care of Russell County Medical Group
NPI #1023280518 in Russell Springs, Kentucky
Provider Information
- NPI Number
- 1023280518
- Entity Type
- Organization
- Organization Name
- Westlake Primary Care of Russell County Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADAIR COUNTY HOSPITAL DISTRICT
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Mar 25, 2008
Practice Location
- Address
- 2465 LAKEWAY DRIVE
- City
- Russell Springs
- State
- Kentucky
- ZIP Code
- 42642
- Phone
- (270) 858-3636
Authorized Official
- Name
- MR. REX A TUNGATE, CEO
- Title
- CEO, ADMINISTRATOR
- Phone
- (270) 384-4753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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