NPI 1114360583

Clark Regional Physician Practices LLC

Organisation Family Medicine Physician Winchester, KY

Practice location

Address: 120 Professional Ave, Winchester, KY 40391-1116
Phone: (859) 744-2485
Fax: (859) 744-0062
Mailing address: 330 Seven Springs Way, Brentwood, TN 37027-5098

Authorised official

Name: Sara Miller
Title: Director
Phone: (615) 202-9581

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Kentucky →

Registry record

NPI: 1114360583
Entity type: Organization
NPI issued: 16 Apr 2013
Record last updated: 27 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.