| Tri State Family Medical Center, Llc | |
|
2583 Highway 644 Ste 1 Louisa KY 41230-9436 | |
| (606) 638-3131 | |
| (606) 638-3139 |
| Full Name | Tri State Family Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2583 Highway 644 Ste 1, Louisa, Kentucky |
| Authorized Official Name and Position | Janice Gauze (VICE PRESIDENT) |
| Authorized Official Contact | 6066383131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Family Medical Center, Llc 2583 Highway 644 Ste 1 Louisa KY 41230-9436 Ph: (606) 638-3131 | Tri State Family Medical Center, Llc 2583 Highway 644 Ste 1 Louisa KY 41230-9436 Ph: (606) 638-3131 |
| NPI Number | 1194959452 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194959452 | NPI | - | NPPES |
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