| County Line Primary Care | |
|
9221 Ky 15 S Campton KY 41301-9568 | |
| (606) 568-1184 | |
| Not Available |
| Full Name | County Line Primary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9221 Ky 15 S, Campton, Kentucky |
| Authorized Official Name and Position | Justin Pearl Neace (CO-OWNER) |
| Authorized Official Contact | 6065681184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Line Primary Care 41 John Maco Dr Jackson KY 41339-6515 Ph: () - | County Line Primary Care 9221 Ky 15 S Campton KY 41301-9568 Ph: (606) 568-1184 |
| NPI Number | 1588223085 |
|---|---|
| Provider Enumeration Date | 06/08/2019 |
| Last Update Date | 06/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588223085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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