| Mindclub Kentucky Llc | |
|
111 Derrick Pl Hopkinsville KY 42240-1325 | |
| (833) 833-9655 | |
| Not Available |
| Full Name | Mindclub Kentucky Llc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 111 Derrick Pl, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Kathy Richardson (VP, CAO) |
| Authorized Official Contact | 6153902865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindclub Kentucky Llc 106 Mission Ct Ste 201a Franklin TN 37067-6441 Ph: (153) 902-8656 | Mindclub Kentucky Llc 111 Derrick Pl Hopkinsville KY 42240-1325 Ph: (833) 833-9655 |
| NPI Number | 1033005079 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 06/16/2025 |
| Certification Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033005079 | NPI | - | NPPES |
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