Viper Elementary School Based Clinic is a primary clinic (Nurse Practitioner) in Viper, Kentucky. The current practice location for Viper Elementary School Based Clinic is 20 Eddington Ln, Suite 161, Viper, Kentucky. For appointments, you can reach them via phone at
(606) 633-4823. The mailing address for Viper Elementary School Based Clinic is Po Box 40, Whitesburg, Kentucky and phone number is () -.
Viper Elementary School Based Clinic is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1699199422. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(606) 633-4823.
Primary Care Clinic Profile
| Full Name | Viper Elementary School Based Clinic |
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| Speciality | Nurse Practitioner |
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| Location | 20 Eddington Ln, Viper, Kentucky |
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| Authorized Official Name and Position | L.m. Caudill (CREDENTIALING) |
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| Authorized Official Contact | 6066334823 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Viper Elementary School Based Clinic
Po Box 40
Whitesburg
KY 41858-0040
Ph: () - | Viper Elementary School Based Clinic
20 Eddington Ln
Suite 161
Viper
KY 41774-8226
Ph: (606) 633-4823 |
NPI Details:
| NPI Number | 1699199422 |
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| Provider Enumeration Date | 02/14/2014 |
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| Last Update Date | 02/14/2014 |
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Medical Identifiers
Medical identifiers for Viper Elementary School Based Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699199422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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