Riverview Family Practice Psc

NPI #1144218413 in Louisa, Kentucky

Provider Information

NPI Number
1144218413
Entity Type
Organization
Organization Name
Riverview Family Practice Psc
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Oct 11, 2005
Last Updated
Nov 11, 2009

Practice Location

Address
203 S WATER ST
City
Louisa
ZIP Code
41230-1387
Phone
(606) 638-4504

Authorized Official

Name
MARK B KINGSTON, MD
Title
CLINIC DIRECTOR
Phone
(606) 638-4504

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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