Organization · Type 2 NPI
Pinelake Physician Practice, LLC
Rural Health Clinic/Center · Fulton, KY
NPI number
1437623337
Active
Practice location
101 Main St
Fulton, KY 42041-1601
Fax (270) 472-5249
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...
Another provider at this address
Other rural health clinic/center providers in Fulton
About NPI 1437623337
Pinelake Physician Practice, LLC's National Provider Identifier is 1437623337, issued on Jan 14, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Fulton, KY. The record was last updated on Jul 16, 2026.