# MOUNTAIN VIEW FAMILY PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAIN VIEW FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265621213
- **Authorized official:** DR. SAMUEL DUANE KREIS I M.D. (CEO/DOCTOR)
- **Authorized official phone:** (606) 877-2850

## Contact information

- **Practice address:** 272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
- **Practice address phone:** (606) 877-2850
- **Practice address fax:** (606) 877-2857
- **Mailing address:** 272 LONDON MOUNTAIN VIEW DR, LONDON, KY 40741-6601
- **Mailing address phone:** (606) 877-2850
- **Mailing address fax:** (606) 877-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 09/17/2019