| Red Bird Clinic, Inc. | |
|
53 Queendale Center Suite 1 Beverly KY 40913 | |
| (606) 598-5135 | |
| (606) 598-5131 |
| Full Name | Red Bird Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 53 Queendale Center, Beverly, Kentucky |
| Authorized Official Name and Position | Kari Collins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6065983155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Bird Clinic, Inc. 53 Queendale Center Suite 1 Beverly KY 40913 Ph: (606) 598-5135 | Red Bird Clinic, Inc. 53 Queendale Center Suite 1 Beverly KY 40913 Ph: (606) 598-5135 |
| NPI Number | 1821084971 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821084971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |