| Community Care Of Kentucky Inc. | |
|
267 Slickback Rd Benton KY 42025-7629 | |
| (270) 527-1496 | |
| (270) 527-5321 |
| Full Name | Community Care Of Kentucky Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 267 Slickback Rd, Benton, Kentucky |
| Authorized Official Name and Position | Marlen Whitmore (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2562411698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of Kentucky Inc. Po Box 2369 Anniston AL 36202-2369 Ph: (256) 241-3965 | Community Care Of Kentucky Inc. 267 Slickback Rd Benton KY 42025-7629 Ph: (270) 527-1496 |
| NPI Number | 1407262181 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407262181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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