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NPI Code Detail

MEDICARE: METCALFE FAMILY PHYSICIANS

MEDICARE: METCALFE FAMILY PHYSICIANS
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician35817KY

General Provider Information

NPI Number : 1053527440
Entity Type Code : Organization
Provider Name (Legal Business Name) : METCALFE FAMILY PHYSICIANS
Provider Business Mailing Address
First Line : 1704 W STOCKTON ST
Second Line : PO BOX 176
City : EDMONTON
State : KY
Zip : 42129-8137
Country : US
Telephone Number : 270-432-4800
Fax Number : 270-432-4804
Provider Business Practice Location Address
First Line : 1704 W STOCKTON ST
Second Line :
City : EDMONTON
State : KY
Zip : 42129-8137
Country : US
Telephone Number : 270-432-4800
Fax Number : 270-432-4804
Authorized Official
Title or Position : OWNER
Name : DR. JOHN W DRURY
Credential : MD
Telephone Number : 270-432-4800
Provider Enumeration Date : 05/15/2007
Last Update Date : 08/22/2020

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Directions to “METCALFE FAMILY PHYSICIANS ” Practice Location

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