Organization · Type 2 NPI

Southfork Medical Clinic PLLC

Rural Health Clinic/Center · Whitley City, KY

NPI number 1205616265 Active

Practice location

57 Medical Lane
Whitley City, KY 42653

Call (606) 376-7211 Map

Fax (606) 376-9219

Mailing address

PO Box 490
Whitley City, KY 42653-0490

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1205616265

Southfork Medical Clinic PLLC's National Provider Identifier is 1205616265, issued on Oct 5, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Whitley City, KY. The record was last updated on Nov 25, 2025.