Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-09-19
- Last updated
- 2007-09-19
Specialties
Licenses
- License KY
- 900017
Location
- Practice location
- 2000 HOLIDAY LN
- City
- FULTON KY
- Postal code
- 420418468
- Phone
- 270-472-2522
Organization contact
- Name
- LAURIE HOLTSFORD
- Title
- Director, Business Office Support
- Phone
- 6154657466
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.