Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icc Medical LLC

Organization Family Nurse Practitioner · NPI 1376730705

Icc Medical LLC is a Family Nurse Practitioner in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 S L Rogers Wells Blvd
Glasgow, KY 42141-1725
Phone: (270) 834-8892
Fax: (270) 834-8899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4074P (KY)

Record details

NPI number1376730705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Williams — Owner · (270) 834-8892
NPI enumeratedOctober 1, 2007
Last updated in NPPESOctober 1, 2007
Mailing address405 S L Rogers Wells Blvd, Glasgow, KY 42141-1725

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