| Diana M. Stulc, PSC | |
|
444 S Main St Madisonville KY 42431-2871 | |
| (270) 825-4204 | |
| (270) 825-4274 |
| Full Name | Diana M. Stulc, PSC |
|---|---|
| Speciality | Family Medicine |
| Location | 444 S Main St, Madisonville, Kentucky |
| Authorized Official Name and Position | Diana Minassian Stulc (OWNER) |
| Authorized Official Contact | 2708254204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana M. Stulc, PSC 444 S Main St Madisonville KY 42431-2871 Ph: (270) 825-4204 | Diana M. Stulc, PSC 444 S Main St Madisonville KY 42431-2871 Ph: (270) 825-4204 |
| NPI Number | 1306813431 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306813431 | NPI | - | NPPES |
| NO GROUP # | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N/A (Kentucky) | Primary |
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