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NPI Code Detail

MEDICARE: WOMENS HEALTH CLINIC OF CYNTHIANA

MEDICARE: WOMENS HEALTH CLINIC OF CYNTHIANA
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
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265588990OTHERKYNPI WOMEN'S HEALTH CLINIC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31104927011OTHERKYNPI DR. MARY C. BELL
41982612354OTHERKYNPI DR. DEREK J CLARKE

General Provider Information

NPI Number : 1265588990
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMENS HEALTH CLINIC OF CYNTHIANA
Provider Business Mailing Address
First Line : 1210 KY HWY 36 EAST
Second Line : SUITE G4
City : CYNTHIANA
State : KY
Zip : 41031
Country : US
Telephone Number : 859-234-9955
Fax Number : 859-234-9959
Provider Business Practice Location Address
First Line : 1210 KY HWY 36 EAST
Second Line : SUITE G4
City : CYNTHIANA
State : KY
Zip : 41031
Country : US
Telephone Number : 859-234-9955
Fax Number : 859-234-9959
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEREK JOHN CLARKE
Credential : M.D.
Telephone Number : 859-234-9955
Provider Enumeration Date : 01/26/2007
Last Update Date : 03/26/2014

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Directions to “WOMENS HEALTH CLINIC OF CYNTHIANA ” Practice Location

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