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Organization
PHYSICIANS FOR FAMILIES PSC
Active
Organization
PHYSICIANS FOR FAMILIES PSC
Active
Other names
Fort Logan Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN CLICK (OFFICE MANAGER)
(606) 365-9181
Entity
Organization
Contact information
Practice address
126 PORTMAN AVE, STANFORD, KY 40484-1230
(606) 365-9181
(606) 365-9183
Mailing address
126 PORTMAN AVE, STANFORD, KY 40484-1230
(606) 365-9181
(606) 365-9183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17220
KY
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/23/2006
Last updated
06/21/2018
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