BALANCED LIFE PRIMARY CARE, LLC

OWENSBORO, KY
NPI1639561806
Entity TypeOrganization
Authorized ContactRANDALL E KING
Owner
270-686-6168
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2015-02-25
Last Update Date2015-02-25
Business Address
BALANCED LIFE PRIMARY CARE, LLC
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303-7805
Phone number: 270-686-6168
Mailing Address
BALANCED LIFE PRIMARY CARE, LLC
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303-7805
Phone number: 270-686-6168
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