New Age Vitality Clinic LLC
NPI #1700251626 in Paintsville, Kentucky
Provider Information
- NPI Number
- 1700251626
- Entity Type
- Organization
- Organization Name
- New Age Vitality Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 3, 2015
- Last Updated
- Mar 8, 2016
Practice Location
- Address
- 327 BROADWAY ST
- City
- Paintsville
- State
- Kentucky
- ZIP Code
- 41240-1348
- Phone
- (606) 789-8531
Authorized Official
- Name
- KRISTY WIREMAN
- Title
- OWNER
- Phone
- (606) 789-8531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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