# ROCKCASTLE RIVER FAMILY HEALTH CLINIC PLLC

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

## Provider details

- **NPI number:** 1265909121
- **Authorized official:** DAWN CARPENTER APRN (OWNER)
- **Authorized official phone:** (606) 453-3901

## Contact information

- **Practice address:** 9226 MAIN ST, LIVINGSTON, KY 40445
- **Practice address phone:** (606) 453-3901
- **Mailing address:** 502 S UPPER RIVER RD, LIVINGSTON, KY 40445-8743
- **Mailing address phone:** (606) 453-3901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2018
- **Last updated:** 10/30/2018