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Family Practice Of Kentucky Llc
Family Nurse Practitioner in Manchester, Kentucky
NPI 1972979540

Family Practice Of Kentucky Llc is a Family Nurse Practitioner based in Manchester, KY and is specialized in Family. Family Practice Of Kentucky Llc practices in Manchester, KY. The NPI Number for Family Practice Of Kentucky Llc is 1972979540 and holds a License No. (Kentucky).

The current practice location address for Family Practice Of Kentucky Llc is 21 Crestview Dr, Manchester, KY and can be reached out via phone at 606-594-1769 and via fax at 606-596-0473.

Location: 21 Crestview Dr, Manchester, KY, 40962-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972979540
Provider Name
Family Practice Of Kentucky Llc
Credential
Provider Entity Type
Organization
Address
21 Crestview Dr, Manchester, KY, 40962-1322
Phone Number
606-594-1769
Fax Number
606-596-0473
Provider Enumeration Date
08/18/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
193200000X 01 KY TAXONOMY MULTI SPECIALTY
188978 01 KY MEDICARE PART A
900342 01 KY COMMONWEALTH OF KY PROVISIONAL LICENSE
7100537420 05 KY
institution
Provider Business Practice Location Address Details
Address
21 Crestview Dr
City
Manchester
State
Kentucky
Zip
40962-7012
Phone Number
606-594-1769
Fax Number
606-596-0473
person
Provider Business Mailing Address Details
Address
21 Crestview Dr
City
Manchester
State
Kentucky
Zip
40962-7012
Phone Number
606-594-1769
Fax Number
606-596-0473
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
900342 (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
(Kentucky)
Definition
Definition to come...
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