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1295109874
KIOSK MEDICINE KENTUCKY LLC
ELIZABETHTOWN, KY
NPI
1295109874
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Entity Type
Organization
Authorized Contact
MARC ROBERT WATKINS
Cmo
615-425-4221
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2015-11-19
Last Update Date
2018-06-13
Business Address
KIOSK MEDICINE KENTUCKY LLC
3040 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Phone number: 270-370-1240
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Mailing Address
KIOSK MEDICINE KENTUCKY LLC
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-424-5100
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