Organization · Type 2 NPI

Pinelake Physician Practice LLC

Rural Health Clinic/Center · Mayfield, KY

NPI number 1922645134 Active

Practice location

417 S 6th St
Mayfield, KY 42066-2311

Call (270) 247-1104 Map

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1922645134

Pinelake Physician Practice LLC's National Provider Identifier is 1922645134, issued on Dec 6, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mayfield, KY. The record was last updated on Jul 16, 2026.