Healthcare Provider Details

I. General information

NPI: 1063737864
Provider Name (Legal Business Name): C & T HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8070 US HWY 60 WEST
LEWISPORT KY
42351-7087
US

IV. Provider business mailing address

PO BOX 87 8070 US HWY 60 WEST
LEWISPORT KY
42351-7087
US

V. Phone/Fax

Practice location:
  • Phone: 270-295-3400
  • Fax: 270-295-3401
Mailing address:
  • Phone: 270-295-3400
  • Fax: 270-295-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateKY

VIII. Authorized Official

Name: CINDY M DAVIS
Title or Position: MANAGING PARTNER
Credential:
Phone: 270-295-3400