| Faith Healthcare, Inc. | |
|
107 Metker Trl Ste A Stanford KY 40484-1049 | |
| (606) 365-8338 | |
| Not Available |
| Full Name | Faith Healthcare, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Metker Trl Ste A, Stanford, Kentucky |
| Authorized Official Name and Position | Logan Roy Antle (CEO) |
| Authorized Official Contact | 6064255768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Healthcare, Inc. 521 Crane Rd Somerset KY 42501-9503 Ph: (066) 425-5768 | Faith Healthcare, Inc. 107 Metker Trl Ste A Stanford KY 40484-1049 Ph: (606) 365-8338 |
| NPI Number | 1598531535 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598531535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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