| Physicians For Families Psc | |
|
126 Portman Ave Stanford KY 40484-1230 | |
| (606) 365-9181 | |
| (606) 365-9183 |
| Full Name | Physicians For Families Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 126 Portman Ave, Stanford, Kentucky |
| Authorized Official Name and Position | Karen Click (OFFICE MANAGER) |
| Authorized Official Contact | 6063659181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians For Families Psc 126 Portman Ave Stanford KY 40484-1230 Ph: (606) 365-9181 | Physicians For Families Psc 126 Portman Ave Stanford KY 40484-1230 Ph: (606) 365-9181 |
| NPI Number | 1346323383 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346323383 | NPI | - | NPPES |
| 65902140 | Medicaid | KY | |
| 7100228860 | Medicaid | KY | |
| 64-172208 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17220 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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