Countryside Family Care

NPI #1083146633 in Hartford, Kentucky

Provider Information

NPI Number
1083146633
Entity Type
Organization
Organization Name
Countryside Family Care
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 3, 2017
Last Updated
Apr 3, 2017

Practice Location

Address
1041 US HIGHWAY 231 N
ZIP Code
42347-9402
Phone
(270) 233-2024

Authorized Official

Name
ELAINE M BERRY, CPC
Title
OFFCIE MANAGER
Phone
(270) 233-2024

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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