TWIN LAKES MEDICAL FOUNDATION INC

LEITCHFIELD, KY
NPI1205870862
Entity TypeOrganization
Authorized ContactDENEACE CLEMONS
COO
270-259-1626
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies207V00000X Obstetrics & Gynecology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
207QS0010X Family Medicine, Sports Medicine
207R00000X Internal Medicine
208000000X Pediatrics
2084N0400X Psychiatry & Neurology, Neurology
208600000X Surgery
207Q00000X Family Medicine
208D00000X General Practice
231H00000X Audiologist
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2006-06-15
Last Update Date2019-12-09
Business Address
TWIN LAKES MEDICAL FOUNDATION INC
908 WALLACE AVE
LEITCHFIELD, KY 42754-1479
Phone number: 270-259-1626
Mailing Address
TWIN LAKES MEDICAL FOUNDATION INC
908 WALLACE AVE
LEITCHFIELD, KY 42754-1479
Phone number: 270-259-1626