Organization · Type 2 NPI

Southfork Medical Clinic PLLC

Specialist · Whitley City, KY

NPI number 1295718757 Active

About NPI 1295718757

Southfork Medical Clinic PLLC's National Provider Identifier is 1295718757, issued on Nov 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Whitley City, KY. The record was last updated on Aug 23, 2011.