East Bernstadt Medical Clinic Pllc

NPI #1275592529 in Mckee, Kentucky

Provider Information

NPI Number: 1275592529
Entity Type: Organization
Organization Name: East Bernstadt Medical Clinic Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Mar 23, 2006
Last Updated: Dec 16, 2024

Practice Location

Address: US HWY 290
Address 2: CAMPBELL DRUG BLDG
City: Mckee
State: Kentucky
ZIP Code: 40447-0757
Phone: (606) 287-5162

Authorized Official

Name: MISS CARLA J JOHNSON
Title: BILLING/CREDENTIALING MANAGER
Phone: (606) 843-6195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X
Clinic/Center - Rural Health — Rural Health	261QR1300X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X

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