Stonecrest Family Medicine Pllc
NPI #1659322808 in Shelbyville, Kentucky
Provider Information
- NPI Number
- 1659322808
- Entity Type
- Organization
- Organization Name
- Stonecrest Family Medicine Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 12, 2006
- Last Updated
- Aug 20, 2014
Practice Location
- Address
- 101 STONECREST ROAD
- Address 2
- SUITE 3
- City
- Shelbyville
- State
- Kentucky
- ZIP Code
- 40065
- Phone
- (502) 633-5565
Authorized Official
- Name
- RONALD E CREQUE JR., MD
- Title
- OWNER
- Phone
- (502) 633-5565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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