| Premier Family Medicine | |
|
830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 | |
| (859) 341-5757 | |
| (859) 331-4757 |
| Full Name | Premier Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Thomas More Pkwy, Edgewood, Kentucky |
| Authorized Official Name and Position | Gregory P Weckenbrock (PARTNER) |
| Authorized Official Contact | 8593415757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine 830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 Ph: (859) 341-5757 | Premier Family Medicine 830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 Ph: (859) 341-5757 |
| NPI Number | 1952334054 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952334054 | NPI | - | NPPES |
| 65944027 | Medicaid | KY | |
| 2622871 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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