NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1912216532 |   |   |   | PINELAKE PHYSICIAN PRACTICE LLC | 1029 MEDICAL CENTER CIR | MAYFIELD | KY | 420661189 |
1508178336 | STONE | RICHARD | DARREN |   | 1029 MEDICAL CENTER CIR | MAYFIELD | KY | 420661189 |