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

Southfork Medical Clinic PLLC

Organization Rural Health Clinic/Center · NPI 1205616265

Southfork Medical Clinic PLLC is a Rural Health Clinic/Center in Whitley City, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57 Medical Ln
Whitley City, KY 42653
Phone: (606) 376-7211
Fax: (606) 376-9219
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1205616265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Correll — Credentialing · (606) 376-7212
Other names South Fork Clinic Pllc
NPI enumeratedOctober 5, 2023
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing addressPo Box 490, Whitley City, KY 42653-0490

Other providers in Whitley City