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DANIEL BOONE FAMILY HEALTHCARE, PLLC

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

Provider NPI: 1255504700

Organization Information:
Organization Name:  DANIEL BOONE FAMILY HEALTHCARE, PLLC
Organization is not Subpart
Authorized Official:  RODNEY TRAVIS SMITH  CEO  606-627-3895

Practice Location:
215 TREUHAFT BLVD STE 3-B BARBOURVILLE, KY 40906-7361 US
Tel: 606-627-3895  Fax: --

Business Mailing Address:
PO BOX 518  BARBOURVILLE, KY 40906-0518 US
Tel: --  Fax: --

NPI Information:
NPI: 1255504700
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KY
N261QP2300XAmbulatory Health Care Facilities
Clinic/Center
Y261QR1300XAmbulatory Health Care Facilities
Clinic/Center
KY

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QR1300X

Type:

Classification:



Definition:



MEDICAL JOBS KY - Page 1

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