| Practitioner Services Pllc | |
|
94 Dogpatch Trading Ctr Ste 2 London KY 40741-8292 | |
| (606) 770-5121 | |
| (606) 770-5199 |
| Full Name | Practitioner Services Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 94 Dogpatch Trading Ctr Ste 2, London, Kentucky |
| Authorized Official Name and Position | Reagen M Loughran (OWNER) |
| Authorized Official Contact | 6067705121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practitioner Services Pllc 94 Dogpatch Trading Ctr Ste 2 London KY 40741-8292 Ph: (606) 770-5121 | Practitioner Services Pllc 94 Dogpatch Trading Ctr Ste 2 London KY 40741-8292 Ph: (606) 770-5121 |
| NPI Number | 1255292819 |
|---|---|
| Provider Enumeration Date | 11/21/2025 |
| Last Update Date | 04/02/2026 |
| Certification Date | 04/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255292819 | NPI | - | NPPES |
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