Healthcare Provider Details

I. General information

NPI: 1982493763
Provider Name (Legal Business Name): EK CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VIKING DR
MOREHEAD KY
40351-2016
US

IV. Provider business mailing address

300 VIKING DR
MOREHEAD KY
40351-2016
US

V. Phone/Fax

Practice location:
  • Phone: 606-477-8421
  • Fax:
Mailing address:
  • Phone: 606-784-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HALL
Title or Position: OUTSIDE COUNSEL
Credential:
Phone: 606-356-8382