Organization Name: | KNOTT COUNTY FAMILY HEALTHCARE,PLLC |
NPI Number: | 1578578225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN D. SPADY (MEDICAL DIRECTOR) |
Mailing Address: | 70 Holly Hills Mall Rd Hindman |
State: | KY US |
Postal Code: | 418229121 |
Phone Number: | 6067859440 |
Fax Number: | 6067859645 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 11/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 900151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |