OrganizationParkway Medical ClinicFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address454 Manchester Square Shpg Ctr, Manchester, KY 40962-8781(606) 598-5115PECOS EnrollmentBased on the most recent information from CMS, provider Parkway Medical Clinic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1992965032Provider TypeOrganizationFull NameParkway Medical ClinicSubpartNoEnumeration Date6/12/2008Last Updated6/12/2008Contact InformationPractice LocationPractice Address454 Manchester Square Shpg Ctr, Manchester, KY 40962-8781Phone(606) 598-5115Fax(606) 598-7179Mailing LocationMailing AddressPO Box 369, Manchester, KY 40962-0369Phone(606) 598-5115Fax(606) 598-7179Authorized OfficialNameReynolds, Judy (Office Manager)Phone(606) 598-5115Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID65920480DescriptionMedicaidIssuerUnlistedKentucky