Caldwell County Medical Clinic

NPI #1801905906 in Princeton, Kentucky

Provider Information

NPI Number
1801905906
Entity Type
Organization
Organization Name
Caldwell County Medical Clinic
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Aug 30, 2006
Last Updated
Mar 17, 2009

Practice Location

Address
323 S JEFFERSON ST
Address 2
SUITE D
ZIP Code
42445-2100
Phone
(270) 365-4505

Authorized Official

Name
DANA EVANS
Title
PROVIDER ENROLLMENT REP
Phone
(270) 744-9600

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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