| Whitley Family Medical | |
|
19 Medical Loop Suite 3 Whitley City KY 42653-4382 | |
| (606) 376-5391 | |
| (606) 376-3326 |
| Full Name | Whitley Family Medical |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 19 Medical Loop, Whitley City, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708642889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitley Family Medical Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | Whitley Family Medical 19 Medical Loop Suite 3 Whitley City KY 42653-4382 Ph: (606) 376-5391 |
| NPI Number | 1619360062 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619360062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
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