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NPI Code Detail

MEDICARE: PHILLIPS PRATT MCFARLAND PSC

MEDICARE: PHILLIPS PRATT MCFARLAND PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory200246KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164413597
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILLIPS PRATT MCFARLAND PSC
Provider Business Mailing Address
First Line : 1 S CREEK DR
Second Line : STE 102
City : MONTICELLO
State : KY
Zip : 42633-9472
Country : US
Telephone Number : 606-348-3365
Fax Number : 606-348-8496
Provider Business Practice Location Address
First Line : 1 S CREEK DR
Second Line : STE 102
City : MONTICELLO
State : KY
Zip : 42633-9472
Country : US
Telephone Number : 606-348-3365
Fax Number : 606-348-8496
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROBERT A PARMELEE
Credential :
Telephone Number : 606-348-3365
Provider Enumeration Date : 11/03/2005
Last Update Date : 03/05/2021

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Directions to “PHILLIPS PRATT MCFARLAND PSC ” Practice Location

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