| Fast Pace Kentucky Pllc | |
|
420 Martin Luther King Hwy Maysville KY 41056-8961 | |
| (606) 375-4817 | |
| (931) 722-9919 |
| Full Name | Fast Pace Kentucky Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Martin Luther King Hwy, Maysville, Kentucky |
| Authorized Official Name and Position | Sydni Clemmons (DIRECTOR OF CREDENTIALING) |
| 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 420 Martin Luther King Hwy Maysville KY 41056-8961 Ph: (606) 375-4817 |
| NPI Number | 1033893920 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/13/2023 |
| Medicare PECOS PAC ID | 0143525998 |
|---|---|
| Medicare Enrollment ID | O20230802002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033893920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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