Independence Family Practice P S C | |
5290 Madison Pike Ste 100 Independence KY 41051 | |
(859) 363-8600 | |
(859) 960-0003 |
Full Name | Independence Family Practice P S C |
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Speciality | Family Medicine |
Location | 5290 Madison Pike, Independence, Kentucky |
Authorized Official Name and Position | John Franklin Allnutt (PRESIDENT) |
Authorized Official Contact | 8593638600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Independence Family Practice P S C 5290 Madison Pike Ste 100 Independence KY 41051 Ph: (859) 363-8600 | Independence Family Practice P S C 5290 Madison Pike Ste 100 Independence KY 41051 Ph: (859) 363-8600 |
NPI Number | 1013192376 |
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Provider Enumeration Date | 01/07/2008 |
Last Update Date | 01/07/2008 |
Identifier | Type | State | Issuer |
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1013192376 | NPI | - | NPPES |
000000370204 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 22978 (Kentucky) | Primary |