Fairview Physicians Network LLC
Internal Medicine, Medical Oncology in Hopkinsville, KY. Organization (NPI-2).
NPI number1659923316
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1659923316
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairview Physicians Network LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | – | – | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
102 W 18th StHopkinsville, KY 42240-1961
Phone 270-707-2100 · Fax 270-707-2103
Mailing address
102 W 18th StHopkinsville, KY 42240-1961
Phone 270-707-2100 · Fax 270-707-2103
Authorized official
Autumn Bailey
Managed Care Director
2708870100
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