| Fast Pace Kentucky, PLLC | |
|
1871 Cumberland Falls Hwy Corbin KY 40701-2731 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Fast Pace Kentucky, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1871 Cumberland Falls Hwy, Corbin, Kentucky |
| Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9013511791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Kentucky, PLLC Po Box 306414 Nashville TN 37230-6414 Ph: (931) 253-1110 | Fast Pace Kentucky, PLLC 1871 Cumberland Falls Hwy Corbin KY 40701-2731 Ph: (931) 253-1110 |
| NPI Number | 1639899164 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Medicare PECOS PAC ID | 0143525998 |
|---|---|
| Medicare Enrollment ID | O20221019000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639899164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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