Organization · Type 2 NPI
Pinelake Physician Practice LLC
Rural Health Clinic/Center · Hickman, KY
NPI number
1205494085
Active
Practice location
2003 S 7th St
Hickman, KY 42050-1841
Fax (270) 236-3340
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
8 other providers at this address
- Hospital of Fulton IncFamily Medicine Physician Hickman, KY NPI 1669696969
- Hospital of Fulton, Inc.Rural Health Clinic/Center Hickman, KY NPI 1245208875
- Parkway Regional Medical Clinic, IncRural Health Clinic/Center Hickman, KY NPI 1043603137
- Allie Alexander-Lusk, APRNFamily Nurse Practitioner Hickman, KY NPI 1831139054
- Ashok Kumar Reddy Chada, MDFamily Medicine Physician Hickman, KY NPI 1659504413
- Brandi L. Stacy, APRNNurse Practitioner Hickman, KY NPI 1760722144
- Christy Byassee, APRN, FNP-CFamily Nurse Practitioner Hickman, KY NPI 1477120129
- Daisy May Gamotin Benigno, MDFamily Medicine Physician Hickman, KY NPI 1528228046
Other rural health clinic/center providers in Hickman
About NPI 1205494085
Pinelake Physician Practice LLC's National Provider Identifier is 1205494085, issued on Jun 5, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hickman, KY. The record was last updated on Jul 16, 2026.