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1588321822
FAST PACE KENTUCKY, PLLC
MADISONVILLE, KY
NPI
1588321822
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Entity Type
Organization
Authorized Contact
SYDNI CLEMMONS
Credentialing Manager
901-351-1791
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
FAST PACE KENTUCKY, PLLC
919 N MAIN ST
MADISONVILLE, KY 42431-1261
Phone number: 270-228-0592
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Mailing Address
FAST PACE KENTUCKY, PLLC
PO BOX 306414
NASHVILLE, TN 37230-6414
Phone number:
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