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ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC

Physicians Internal Medicine Hematology & Oncology

Provider NPI: 1124181508

Organization Information:
Organization Name:  ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC
Organization is not Subpart
Authorized Official:  BRANDY  BULLOCK  DIRECTOR  606-256-7761

Practice Location:
140 NEWCOMB AVE  MOUNT VERNON, KY 40456-2728 US
Tel: 606-256-4148  Fax: --

Business Mailing Address:
140 NEWCOMB AVE  MOUNT VERNON, KY 40456-2728 US
Tel: 606-256-4148  Fax: --

NPI Information:
NPI: 1124181508
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RH0003XPhysicians
Internal Medicine
Hematology & Oncology
N207RR0500XPhysicians
Internal Medicine
KY40266
N207RN0300XPhysicians
Internal Medicine
KY03104
N207Q00000XPhysicians
Family Medicine
KY12635
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
HESSLER NPI126555938901
65921710KY05
WILLIAM MCELWAIN NPI193216200501
MARA CHAMBERS MD NPI #163918068001
KIMBERLY CORNELIUS NPI #170084044401
FLOREA NPI186161934801
SUSAN ARNOLD, MD NPI NUMB111493405601



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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