| NPI | 1386859908 |
|---|---|
| Doing Business As | EDDYVILLE FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MARK A EDWARDS CEO 270-988-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006657) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-06-02 |