| Mark Modlin, Inc. | |
|
130 Dudley Pike Suite 120 Edgewood KY 41017-2396 | |
| (859) 341-7170 | |
| (859) 341-7173 |
| Full Name | Mark Modlin, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 130 Dudley Pike, Edgewood, Kentucky |
| Authorized Official Name and Position | Mark Alan Modlin (OWNER) |
| Authorized Official Contact | 8593417170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Modlin, Inc. 130 Dudley Pike Suite 120 Edgewood KY 41017-2396 Ph: (859) 341-7170 | Mark Modlin, Inc. 130 Dudley Pike Suite 120 Edgewood KY 41017-2396 Ph: (859) 341-7170 |
| NPI Number | 1881003705 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881003705 | NPI | - | NPPES |
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