Family Care Center Magnolia | |
432 Mill Rd Magnolia KY 42757-7862 | |
(270) 324-3241 | |
(270) 324-3244 |
Full Name | Family Care Center Magnolia |
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Speciality | Family Medicine |
Location | 432 Mill Rd, Magnolia, Kentucky |
Authorized Official Name and Position | Jeff D Kingery (DIRECTOR) |
Authorized Official Contact | 2707061900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Care Center Magnolia Po Box 2309 Elizabethtown KY 42702-2309 Ph: (270) 706-1131 | Family Care Center Magnolia 432 Mill Rd Magnolia KY 42757-7862 Ph: (270) 324-3241 |
NPI Number | 1194775734 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 07/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194775734 | NPI | - | NPPES |
65935678 | Medicaid | KY | |
DA0342 | Other | KY | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |