Vine Grove Family Medicine Psc
NPI #1316143845 in Vine Grove, Kentucky
Provider Information
- NPI Number
- 1316143845
- Entity Type
- Organization
- Organization Name
- Vine Grove Family Medicine Psc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 22, 2007
- Last Updated
- Jul 23, 2007
Practice Location
- Address
- 101 W MAIN ST
- City
- Vine Grove
- State
- Kentucky
- ZIP Code
- 40175-1302
- Phone
- (270) 877-6672
Authorized Official
- Name
- TIMOTHY D. LAW SR.
- Title
- PHYSICIAN AND OWNER
- Phone
- (270) 877-6672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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