Stanford Wellcare Clinic PLLC
Stanford Wellcare Clinic PLLC is an Internal Medicine Physician in Stanford, Kentucky. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
132 Frontier Blvd Ste 101Stanford, KY 40484-6516
Phone: (606) 727-5757
Fax: (606) 727-5777
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 |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1861071219 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Imad Haddad — Owner · (859) 481-7113 |
| NPI enumerated | April 5, 2021 |
| Last updated in NPPES | August 3, 2021 |
| Certification date | August 3, 2021 |
| Mailing address | 132 Frontier Blvd Ste 101, Stanford, KY 40484-6516 |