# FAMILY CARE PHYSICIANS PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063576601
- **Authorized official:** TONYA D JESSE (OFFICE MANAGER)
- **Authorized official phone:** (502) 243-8481

## Contact information

- **Practice address:** 2701 CHAMBERLAIN LN, LOUISVILLE, KY 40245-1603
- **Practice address phone:** (502) 243-8481
- **Mailing address:** 2701 CHAMBERLAIN LN, LOUISVILLE, KY 40245-1603
- **Mailing address phone:** (502) 243-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 12/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063576601 | NPI | KY |
| 05 | — | 65934697 | — | KY |
| 01 | — | DD1879 | RAILROAD MEDICARE | KY |