| Family Care Physicians Psc | |
|
2701 Chamberlain Ln Louisville KY 40245-1603 | |
| (502) 243-8481 | |
| Not Available |
| Full Name | Family Care Physicians Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 Chamberlain Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Tonya D Jesse (OFFICE MANAGER) |
| Authorized Official Contact | 5022438481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Physicians Psc 2701 Chamberlain Ln Louisville KY 40245-1603 Ph: (502) 243-8481 | Family Care Physicians Psc 2701 Chamberlain Ln Louisville KY 40245-1603 Ph: (502) 243-8481 |
| NPI Number | 1063576601 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 7416982251 |
|---|---|
| Medicare Enrollment ID | O20050930000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063576601 | NPI | - | NPPES |
| 1063576601 | Other | KY | NPI |
| 65934697 | Medicaid | KY | |
| DD1879 | Other | KY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen Elizabeth Langness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124024989 PECOS PAC ID: 9830223791 Enrollment ID: I20100813000285 |
| Provider Name | Veronica Anne Kavorkian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912831 PECOS PAC ID: 2961437702 Enrollment ID: I20100927001443 |
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