Hanging Fork Primary Care Pllc
NPI #1699176495 in Hustonville, Kentucky
Provider Information
- NPI Number
- 1699176495
- Entity Type
- Organization
- Organization Name
- Hanging Fork Primary Care Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 11, 2014
- Last Updated
- Sep 11, 2014
Practice Location
- Address
- 1075 US HWY 127 N
- City
- Hustonville
- State
- Kentucky
- ZIP Code
- 40437
- Phone
- (606) 346-2055
Authorized Official
- Name
- MARY EDWARDS, APRN
- Title
- MANAGER
- Phone
- (606) 346-2055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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