Crab Orchard Family Practice Clinic, Inc.
NPI #1033112362 in Crab Orchard, Kentucky
Provider Information
- NPI Number
- 1033112362
- Entity Type
- Organization
- Organization Name
- Crab Orchard Family Practice Clinic, Inc.
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 31, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 207 MAIN ST
- City
- Crab Orchard
- State
- Kentucky
- ZIP Code
- 40419-9697
- Phone
- (606) 355-7300
Authorized Official
- Name
- ROBERT A. CARTER JR.
- Title
- PRESIDENT
- Phone
- (606) 528-0283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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