| Kc Clinical Services | |
|
815 Country Club Ln Hopkinsville KY 42240-1346 | |
| (270) 885-1524 | |
| Not Available |
| Full Name | Kc Clinical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 815 Country Club Ln, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Christopher Butler (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2708851524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Clinical Services 815 Country Club Ln Hopkinsville KY 42240-1346 Ph: (270) 885-1524 | Kc Clinical Services 815 Country Club Ln Hopkinsville KY 42240-1346 Ph: (270) 885-1524 |
| NPI Number | 1407443880 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Medicare PECOS PAC ID | 6709286313 |
|---|---|
| Medicare Enrollment ID | O20210617002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407443880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20200728001834 |
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