| Patient Centered Care Of Kentucky Llc | |
|
800 W Lincoln Trail Blvd Ste 102 Radcliff KY 40160-2671 | |
| (270) 351-3515 | |
| Not Available |
| Full Name | Patient Centered Care Of Kentucky Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 W Lincoln Trail Blvd Ste 102, Radcliff, Kentucky |
| Authorized Official Name and Position | Faiz Uddin (DOCTOR) |
| Authorized Official Contact | 8595591827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Centered Care Of Kentucky Llc 175 Mary Lee St Elizabethtown KY 42701-4481 Ph: (859) 559-1827 | Patient Centered Care Of Kentucky Llc 800 W Lincoln Trail Blvd Ste 102 Radcliff KY 40160-2671 Ph: (270) 351-3515 |
| NPI Number | 1720520703 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 12/01/2016 |
| Medicare PECOS PAC ID | 9830479914 |
|---|---|
| Medicare Enrollment ID | O20161207000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720520703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38224 (Kentucky) | Primary |
| Provider Name | Faiz M Uddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114900016 PECOS PAC ID: 1052490166 Enrollment ID: I20080430000711 |
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