Estill Medical Clinic, Psc

NPI #1154500296 in Irvine, Kentucky

Provider Information

NPI Number: 1154500296
Entity Type: Organization
Organization Name: Estill Medical Clinic, Psc
Primary Specialty: Family Medicine
Enumeration Date: Oct 25, 2007
Last Updated: Nov 9, 2011

Practice Location

Address: 275 COURT ST
City: Irvine
State: Kentucky
ZIP Code: 40336-1077
Phone: (606) 723-2167

Authorized Official

Name: DONNA R ISFORT, APRN
Title: OWNER
Phone: (606) 723-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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