| Town Family Doctor, Pllc | |
|
9501 Norton Commons Blvd Unit B Prospect KY 40059-7522 | |
| (502) 618-2472 | |
| (502) 618-2479 |
| Full Name | Town Family Doctor, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9501 Norton Commons Blvd, Prospect, Kentucky |
| Authorized Official Name and Position | Vedad Seremet (PRESIDENT) |
| Authorized Official Contact | 5026182472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Family Doctor, Pllc 9501 Norton Commons Blvd Unit B Prospect KY 40059-7522 Ph: (502) 618-2472 | Town Family Doctor, Pllc 9501 Norton Commons Blvd Unit B Prospect KY 40059-7522 Ph: (502) 618-2472 |
| NPI Number | 1477718625 |
|---|---|
| Provider Enumeration Date | 07/26/2008 |
| Last Update Date | 07/19/2009 |
| Medicare PECOS PAC ID | 6709931694 |
|---|---|
| Medicare Enrollment ID | O20090828000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477718625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 40638 (Kentucky) | Primary |
| Provider Name | Vedad Seremet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467593418 PECOS PAC ID: 5395844385 Enrollment ID: I20070816000197 |
| Provider Name | Dzanan Gusic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558669606 PECOS PAC ID: 7517132426 Enrollment ID: I20111205000392 |
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