Organization · Type 2 NPI
South Oldham Medical Clinic PSC
General Practice Physician · Crestwood, KY
NPI number
1922142983
Active
Practice location
6520 W Hwy 22
Crestwood, KY 40014
Fax (502) 241-7424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 30373 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1922142983
South Oldham Medical Clinic PSC's National Provider Identifier is 1922142983, issued on Feb 16, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Crestwood, KY. The record was last updated on Aug 22, 2020.