# ELIZABETHTOWN FAMILY CARE CLINIC

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

## Provider details

- **NPI number:** 1083665152
- **Authorized official:** DR. CAROL PURDY WORRILL D.O. (OWNER)
- **Authorized official phone:** (270) 360-0851

## Contact information

- **Practice address:** 1239 WOODLAND DR, STE 106, ELIZABETHTOWN, KY 42701-2770
- **Practice address phone:** (270) 360-0851
- **Practice address fax:** (270) 360-0859
- **Mailing address:** 1239 WOODLAND DR, STE 106, ELIZABETHTOWN, KY 42701-2770
- **Mailing address phone:** (270) 360-0851
- **Mailing address fax:** (270) 360-0859

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 08/22/2020