Physician Express Care Billing

NPI #1114198454 in London, Kentucky

Provider Information

NPI Number: 1114198454
Entity Type: Organization
Organization Name: Physician Express Care Billing
Subpart: Yes (part of a larger organization)
Parent Organization: PHYSICIAN EXPRESS CARE BILLING
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 14, 2008
Last Updated: Mar 14, 2008

Practice Location

Address: 148 LONDON MOUNTAIN VIEW DR
Address 2: STE 4
City: London
State: Kentucky
ZIP Code: 40741-6617
Phone: (606) 878-1181

Authorized Official

Name: KANDI R REA
Title: PHYSICIAN CREDENTIALING
Phone: (606) 877-3931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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