Healthcare Provider Details

I. General information

NPI: 1427161769
Provider Name (Legal Business Name): UNITED CLINICS OF KENTUCKY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 MOUNTAIN PARKWAY SPUR
CAMPTON KY
41301
US

IV. Provider business mailing address

239 MOUNTAIN PARKWAY SPUR
CAMPTON KY
41301
US

V. Phone/Fax

Practice location:
  • Phone: 606-668-6932
  • Fax:
Mailing address:
  • Phone: 606-668-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NADEEM A SHAIKH
Title or Position: OWNER
Credential: M.D.
Phone: 606-668-3120