| Blanks, LLC | |
|
270 Burley Ave Hopkinsville KY 42240-8725 | |
| (270) 697-9428 | |
| (270) 632-0579 |
| Full Name | Blanks, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 270 Burley Ave, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Michael Keith Toms (COOWNER) |
| Authorized Official Contact | 2706979428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanks, LLC 401 Locust Grove Rd Hopkinsville KY 42240-9350 Ph: (270) 697-9428 | Blanks, LLC 270 Burley Ave Hopkinsville KY 42240-8725 Ph: (270) 697-9428 |
| NPI Number | 1841719978 |
|---|---|
| Provider Enumeration Date | 09/09/2017 |
| Last Update Date | 09/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841719978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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