Organization · Type 2 NPI

Crittenden County Hospital

Geriatric Medicine (Family Medicine) Physician · Salem, KY

NPI number 1265481022 Active

Practice location

117 E Main St
Salem, KY 42078

Fax (270) 988-3832

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician Primary	207QG0300X	900061 (KY)
Rural Health Clinic/Center	261QR1300X	900061 (KY)

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

4 other providers at this address

NPI record

NPI: 1265481022
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Jul 26, 2018
Status: Active

Other names

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Burkhart Rural Health Clinic · doing business as
Burkhart Rural Health Clinic, Crittenden Health Systems · doing business as
Burkhart Rural Health Clinic, Crittenden Health Systems · doing business as

Authorized official

Misty Kay McKinney
Controller
(270) 965-1001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265481022

Crittenden County Hospital's National Provider Identifier is 1265481022, issued on May 9, 2006. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Salem, KY. The record was last updated on Jul 26, 2018.