| Steven Preston Md Pllc | |
|
207 W Main St Hodgenville KY 42748-1598 | |
| (270) 358-3830 | |
| (270) 358-9350 |
| Full Name | Steven Preston Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 W Main St, Hodgenville, Kentucky |
| Authorized Official Name and Position | Steven Preston (OWNER) |
| Authorized Official Contact | 2703583830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Preston Md Pllc 207 W Main St Hodgenville KY 42748-1598 Ph: (270) 358-3830 | Steven Preston Md Pllc 207 W Main St Hodgenville KY 42748-1598 Ph: (270) 358-3830 |
| NPI Number | 1134716376 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 7810301413 |
|---|---|
| Medicare Enrollment ID | O20210121002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134716376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Steven H Preston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285685602 PECOS PAC ID: 0446394753 Enrollment ID: I20100224000143 |
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