Organization · Type 2 NPI

Commonwealth Health Corporation, Inc.

Family Nurse Practitioner · Scottsville, KY

NPI number 1619517893 Active

Practice location

1545 Bowling Green Rd Rm 803
Scottsville, KY 42164-9647

Mailing address

PO Box 117914
Atlanta, GA 30368-7914

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Nurse Practitioner 363L00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

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About NPI 1619517893

Commonwealth Health Corporation, Inc.'s National Provider Identifier is 1619517893, issued on Jan 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Scottsville, KY. The record was last updated on Oct 19, 2026.