| Fuse Medical | |
|
725 S Main St London KY 40741-1903 | |
| (606) 770-5161 | |
| (606) 771-5168 |
| Full Name | Fuse Medical |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 725 S Main St, London, Kentucky |
| Authorized Official Name and Position | Tammy L Whitehead (OWNER) |
| Authorized Official Contact | 6067705161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuse Medical 725 S Main St London KY 40741-1903 Ph: (606) 770-5161 | Fuse Medical 725 S Main St London KY 40741-1903 Ph: (606) 770-5161 |
| NPI Number | 1629886825 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 04/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629886825 | NPI | - | NPPES |
| 811933 | Other | KY | AODE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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