Kuttawa Clinic, Pllc

NPI #1184034951 in Kuttawa, Kentucky

Provider Information

NPI Number: 1184034951
Entity Type: Organization
Organization Name: Kuttawa Clinic, Pllc
Primary Specialty: Family Medicine
Enumeration Date: May 2, 2014
Last Updated: Sep 30, 2020

Practice Location

Address: 91 CEDAR STREET
City: Kuttawa
State: Kentucky
ZIP Code: 42055
Phone: (270) 853-8685

Authorized Official

Name: DR. DEBRA WILDER, MD
Title: MEMBER
Phone: (270) 853-8685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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