South Shore Family Medical Clinic
NPI #1497232722 in South Shore, Kentucky
Provider Information
- NPI Number
- 1497232722
- Entity Type
- Organization
- Organization Name
- South Shore Family Medical Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 19, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 74 BIGGS LN
- City
- South Shore
- State
- Kentucky
- ZIP Code
- 41175-7846
- Phone
- (606) 498-4232
Authorized Official
- Name
- JAMES LEE RYAN, NURSE PRACTITIONER
- Title
- FNP
- Phone
- (606) 498-4232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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