| Central Kentucky Recovery Management | |
|
1094 Us Highway 27 S Ste A Cynthiana KY 41031-7078 | |
| (859) 569-3145 | |
| (859) 569-3176 |
| Full Name | Central Kentucky Recovery Management |
|---|---|
| Speciality | Family Medicine |
| Location | 1094 Us Highway 27 S Ste A, Cynthiana, Kentucky |
| Authorized Official Name and Position | Tracy S Fryman (OWNER) |
| Authorized Official Contact | 8595693145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Kentucky Recovery Management 1094 Us Highway 27 S Ste A Cynthiana KY 41031-7078 Ph: (859) 569-3145 | Central Kentucky Recovery Management 1094 Us Highway 27 S Ste A Cynthiana KY 41031-7078 Ph: (859) 569-3145 |
| NPI Number | 1619339736 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 1557645884 |
|---|---|
| Medicare Enrollment ID | O20170303001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619339736 | NPI | - | NPPES |
| 810849 | Other | KY | AODE LICENSE |
| 7100435380 | Medicaid | KY |
| Provider Name | Teresa Lynn Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255712345 PECOS PAC ID: 5294048666 Enrollment ID: I20150715000640 |
| Provider Name | Chelsea Jo Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679242838 PECOS PAC ID: 2163812561 Enrollment ID: I20211129000848 |
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