COMMUNITY CARE OF KENTUCKY, INC

MADISONVILLE, KY
NPI1053799080
Entity TypeOrganization
Authorized ContactJENELL STUMP
Manager, Licensing & Credentialing
629-999-5006
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-05-11
Last Update Date2018-05-07
Business Address
COMMUNITY CARE OF KENTUCKY, INC
1175 S MAIN ST STE 4
MADISONVILLE, KY 42431-3337
Phone number: 270-383-5511
Mailing Address
COMMUNITY CARE OF KENTUCKY, INC
PO BOX 2369
ANNISTON, AL 36202-2369
Phone number: 256-741-7340