| NPI | 1710207865 |
|---|---|
| Other Name | PIKEVILLE MEDICAL CENTER CLINIC @ WALMART |
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAGY CFO 606-218-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 1300366) |
| 363A00000X Physician Assistant (Licence: KY 1300366) | |
| 363L00000X Nurse Practitioner (Licence: KY 1300366) | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2016-10-19 |