Bautista Medical Clinic
NPI #1639472020 in Mt Washington, Kentucky
Provider Information
- NPI Number
- 1639472020
- Entity Type
- Organization
- Organization Name
- Bautista Medical Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 7, 2010
- Last Updated
- Dec 7, 2010
Practice Location
- Address
- 161 WEST AVE
- City
- Mt Washington
- State
- Kentucky
- ZIP Code
- 40047-7636
- Phone
- (502) 538-7425
Authorized Official
- Name
- FE L. BAUTISTA, M.D.
- Title
- CO-OWNER
- Phone
- (502) 538-7425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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