Organization · Type 2 NPI
Life Coordinated Commonwealth Pace Inc
Primary Care Clinic/Center · Benton, KY
NPI number
1487476636
Active
Practice location
201 E 11th St
Benton, KY 42025-1515
Mailing address
PO Box 2403
Brentwood, TN 37024-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1487476636
Life Coordinated Commonwealth Pace Inc's National Provider Identifier is 1487476636, issued on Oct 29, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Benton, KY. The record was last updated on Oct 29, 2024.