| East Bernstadt Medical Clinic | |
|
Us Hwy 25 South Us Hwy 25 South Lily KY 40740 | |
| (606) 523-1660 | |
| (606) 523-1665 |
| Full Name | East Bernstadt Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | Us Hwy 25 South, Lily, Kentucky |
| Authorized Official Name and Position | Carla Jean Johnson (INS. BILLING CREDENTIALING CLERK) |
| Authorized Official Contact | 6068436195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bernstadt Medical Clinic Us Hwy 25 South Us Hwy 25 South Lily KY 40740 Ph: (606) 523-1660 | East Bernstadt Medical Clinic Us Hwy 25 South Us Hwy 25 South Lily KY 40740 Ph: (606) 523-1660 |
| NPI Number | 1831158187 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831158187 | NPI | - | NPPES |
| 65916660 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |