Organization · NPI-2
1on1 Medical Care
Clinic/Center, Primary Care · Hopkinsville, KY
NPI number1639536600
StatusActive
Last updated in NPPESJan 21, 2016
Details
- NPI
- 1639536600
- Entity type
- Organization (NPI-2)
- Legal business name
- 1on1 Medical Care
- Organization subpart
- No
- Enumeration date
- Jan 21, 2016
- Last updated
- Jan 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 1055 | KY | Yes |
| 261QP2300X | Clinic/Center, Primary Care | 44328 | KY | |
| 261QX0100X | Clinic/Center, Occupational Medicine | 1055 | KY |
Practice location
3800 Lafayette RdSuite A
Hopkinsville, KY 42240-5332
Phone 270-962-7305 · Fax 270-962-7306
Mailing address
3800 Lafayette RdSuite A
Hopkinsville, KY 42240-5332
Phone 270-962-7305 · Fax 270-962-7306
Authorized official
Amanda J Shemley
Office Manager
2709627305
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