| Western Kentucky Medical Group | |
|
116 Main St Cadiz KY 42211-9163 | |
| (270) 350-4504 | |
| Not Available |
| Full Name | Western Kentucky Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 Main St, Cadiz, Kentucky |
| Authorized Official Name and Position | Harshul Amrut Patel (PRESIDENT) |
| Authorized Official Contact | 2708879066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Kentucky Medical Group Po Box 1580 Cadiz KY 42211-1580 Ph: (270) 350-4504 | Western Kentucky Medical Group 116 Main St Cadiz KY 42211-9163 Ph: (270) 350-4504 |
| NPI Number | 1609569664 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 5092016824 |
|---|---|
| Medicare Enrollment ID | O20230821000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609569664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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