Organization · Type 2 NPI
South Shore Family Medical Clinic
Family Nurse Practitioner · South Shore, KY
NPI number
1497232722
Active
Practice location
74 Biggs Ln
South Shore, KY 41175-7846
Mailing address
37 Christopher Dr
South Shore, KY 41175-9447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3006463 (KY) |
Family Nurse Practitioner: Definition to come...
About NPI 1497232722
South Shore Family Medical Clinic's National Provider Identifier is 1497232722, issued on Jul 19, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Shore, KY. The record was last updated on Jul 19, 2018.