| Kentucky Family Practice Inc | |
|
195 Commercial Dr Ste 98 London KY 40744-5200 | |
| (606) 878-1219 | |
| Not Available |
| Full Name | Kentucky Family Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 195 Commercial Dr Ste 98, London, Kentucky |
| Authorized Official Name and Position | Eric Evans (OWNER) |
| Authorized Official Contact | 6068781219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Family Practice Inc 195 Commercial Dr Ste 98 London KY 40744-5200 Ph: (606) 878-1219 | Kentucky Family Practice Inc 195 Commercial Dr Ste 98 London KY 40744-5200 Ph: (606) 878-1219 |
| NPI Number | 1851054597 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 4486042207 |
|---|---|
| Medicare Enrollment ID | O20211028000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851054597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Dana Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619679297 PECOS PAC ID: 9638538317 Enrollment ID: I20230629001152 |
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