Fast Pace Kentucky, Pllc
NPI #1588321822 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1588321822
- Entity Type
- Organization
- Organization Name
- Fast Pace Kentucky, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Nov 22, 2021
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 919 N MAIN ST
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-1261
- Phone
- (270) 228-0592
Authorized Official
- Name
- SYDNI CLEMMONS
- Title
- CREDENTIALING MANAGER
- Phone
- (901) 351-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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