| Clarkson Clinic, Pllc | |
|
625 W Main St Clarkson KY 42726-7044 | |
| (270) 242-2311 | |
| (270) 242-7007 |
| Full Name | Clarkson Clinic, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 625 W Main St, Clarkson, Kentucky |
| Authorized Official Name and Position | Victor F Duvall (SOLE MEMBER) |
| Authorized Official Contact | 2702422311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkson Clinic, Pllc Po Box 158 Clarkson KY 42726-0158 Ph: (270) 242-2311 | Clarkson Clinic, Pllc 625 W Main St Clarkson KY 42726-7044 Ph: (270) 242-2311 |
| NPI Number | 1104937820 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104937820 | NPI | - | NPPES |
| 2813857000 | Other | KY | PASSPORT ADVANTAGE |
| 7100011620 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14881 (Kentucky) | Primary |
Twin Lakes Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 W Main St, Clarkson, KY 42726 Phone: 270-242-2311 |