Organization · Type 2 NPI
Bourbon Physician Practice LLC
Rural Health Clinic/Center · Carlisle, KY
NPI number
1356689079
Active
Practice location
107 S Broadway St
Carlisle, KY 40311-1150
Fax (859) 289-4126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
Other rural health clinic/center providers in Carlisle
About NPI 1356689079
Bourbon Physician Practice LLC's National Provider Identifier is 1356689079, issued on Jan 30, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carlisle, KY. The record was last updated on Sep 24, 2022.