Bourbon Physician Practice LLC

NPI #1356689079 in Carlisle, Kentucky

Provider Information

NPI Number
1356689079
Entity Type
Organization
Organization Name
Bourbon Physician Practice LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jan 30, 2013
Last Updated
Sep 24, 2022

Practice Location

Address
107 S BROADWAY ST
ZIP Code
40311-1150
Phone
(859) 289-4124

Authorized Official

Name
MONICA BOWMAN
Title
PRESIDENT
Phone
(615) 920-7000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Clinic/Center - Rural HealthRural Health

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