NPI 1487972287
Penny Medicinebear
Practice location
- Address
- 324 Sunset Ave, Smiths Grove, KY 42171-8164
- Phone
- (270) 784-7079
- Fax
- (270) 451-1200
- Mailing address
- PO Box 433 324 Sunset Ave, Smiths Grove, KY 42171-0433
Authorised official
- Name
- Michael Fuqua Medicinebear
- Title
- Co-Owner
- Phone
- (270) 784-7079
Registered specialties (2)
Taxi
Primary
Taxi
Registry record
- NPI
- 1487972287
- Entity type
- Organization
- NPI issued
- 4 May 2010
- Record last updated
- 4 May 2010
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.