| NPI | 1124181508 |
|---|---|
| Doing Business As | MT. VERNON CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDY BULLOCK Director 606-256-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KY 40266) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 03104) | |
| 207Q00000X Family Medicine (Licence: KY 12635) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2010-05-21 |