Bourbon Physician Practice LLC
Bourbon Physician Practice LLC is a Rural Health Clinic/Center in Carlisle, Kentucky. Licensed in Kentucky. Registered with an NPI since 2013.
- Licensed in
- KY
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 S Broadway StCarlisle, KY 40311-1150
Phone: (859) 289-4124
Fax: (859) 289-4126
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X (KY) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1356689079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monica Bowman — President · (615) 920-7000 |
| Other names | Carlisle Clinic; Carlisle Clinic |
| NPI enumerated | January 30, 2013 |
| Last updated in NPPES | September 24, 2022 |
| Certification date | September 24, 2022 |
| Mailing address | 107 S Broadway St, Carlisle, KY 40311-1150 |
Other providers in Carlisle
-
Carlisle Clinic, PSC
107 S Broadway St, Carlisle, KY 40311-1150 · (859) 289-4124
-
Harrison Memorial Hospital
254 E Main St, Carlisle, KY 40311-1156 · (859) 289-6311
-
Jmhc Inc
2330 Concrete Rd, Carlisle, KY 40311-9700 · (859) 289-2212