OrganizationActive
Avante Garde Health Centers, LLC
NPI 1407125016 · Primary Care Clinic/Center · Russell Springs, KY
Provider details
- NPI number
- 1407125016
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Cundiff-Roy, Owner(270) 866-4357
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
72 Joe T Pettey Dr
Suite B
Russell Springs, KY 42642
Phone: (270) 866-4357
Fax: (270) 858-4957
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1383
Russell Springs, KY 42642-1383
Registry dates
- Enumerated
- 2011-12-28
- Last updated
- 2011-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.