| Department Of Veterans Affairs | |
|
209 Pauline Dr Berea KY 40403-8889 | |
| (859) 233-4511 | |
| (859) 986-1289 |
| Full Name | Department Of Veterans Affairs |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 209 Pauline Dr, Berea, Kentucky |
| Authorized Official Name and Position | Lydia Gregory (STAFF NURSE) |
| Authorized Official Contact | 8592334511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veterans Affairs 209 Pauline Dr Berea KY 40403-8889 Ph: () - | Department Of Veterans Affairs 209 Pauline Dr Berea KY 40403-8889 Ph: (859) 233-4511 |
| NPI Number | 1326331083 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326331083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1096474 (Kentucky) | Primary |
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