Licking Valley Internal Medicine & Pediatrics Psc

NPI #1225136153 in Cynthiana, Kentucky

Provider Information

NPI Number: 1225136153
Entity Type: Organization
Organization Name: Licking Valley Internal Medicine & Pediatrics Psc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 21, 2006
Last Updated: Apr 7, 2010

Practice Location

Address: 1210 KY HIGHWAY 36 E
Address 2: SUITE 2A
City: Cynthiana
State: Kentucky
ZIP Code: 41031-7490
Phone: (859) 234-9611

Authorized Official

Name: DR. WILLIAM FRANK MCKEMIE JR., MD
Title: PRESIDENT
Phone: (859) 234-9611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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