Organization · Type 2 NPI
Modern Roots Healthcare,pllc
Primary Care Clinic/Center · Upton, KY
NPI number
1619880408
Active
Practice location
1140 Wabash Rd
Upton, KY 42784-9222
Fax (270) 246-9774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Upton
About NPI 1619880408
Modern Roots Healthcare,pllc's National Provider Identifier is 1619880408, issued on Sep 23, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Upton, KY. The record was last updated on Sep 23, 2026.