Organization · NPI-2

Mount Olivet Primary Care

Family Medicine · Cynthiana, KY

NPI number1972056661
StatusActive
Last updated in NPPESJul 28, 2016

Details

NPI
1972056661
Entity type
Organization (NPI-2)
Legal business name
Mount Olivet Primary Care
Organization subpart
Yes
Enumeration date
Jul 28, 2016
Last updated
Jul 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine13461KYYes

Practice location

430 E Pleasant St
Cynthiana, KY 41031-1816

Phone 859-234-3282

Mailing address

420 North Main Street
Mount Olivet, KY 41064

Phone 606-584-8666 · Fax 859-234-9400

Authorized official

A C Wright
President
8592343282

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