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1871916833
KIOSK MEDICINE KENTUCKY LLC
PROSPECT, KY
NPI
1871916833
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Entity Type
Organization
Authorized Contact
MARC R WATKINS
Cmo
615-425-4200
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2014-01-28
Last Update Date
2016-12-21
Business Address
KIOSK MEDICINE KENTUCKY LLC
5929 TIMBER RIDGE DR
PROSPECT, KY 40059-8132
Phone number: 502-228-2507
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Mailing Address
KIOSK MEDICINE KENTUCKY LLC
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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