Bluegrass Family Walk-In Clinic LLC

NPI #1124596341 in Pikeville, Kentucky

Provider Information

NPI Number: 1124596341
Entity Type: Organization
Organization Name: Bluegrass Family Walk-In Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 140 ADAMS LN STE 600-700
City: Pikeville
State: Kentucky
ZIP Code: 41501-3087
Phone: (606) 509-2000

Authorized Official

Name: DR. CHADWARD LEE THACKER, MD
Title: OWNER
Phone: (606) 509-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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