Unknown Individual – General Practice Physician, NPI 1003810797
General Practice Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 763
EDDYVILLE, KY 420380763
Phone: (270) 388-9764
Fax: (270) 388-0557
Type: Mailing
627, Fairview Avenue, Eddyville, Lyon County, Kentucky, 42038, United States
EDDYVILLE, KY 420387386
Phone: (270) 388-9764
Fax: (270) 388-0557
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42038)
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