# PHYSICIANS FOR FAMILIES PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Logan Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346323383
- **Authorized official:** MRS. KAREN CLICK (OFFICE MANAGER)
- **Authorized official phone:** (606) 365-9181

## Contact information

- **Practice address:** 126 PORTMAN AVE, STANFORD, KY 40484-1230
- **Practice address phone:** (606) 365-9181
- **Practice address fax:** (606) 365-9183
- **Mailing address:** 126 PORTMAN AVE, STANFORD, KY 40484-1230
- **Mailing address phone:** (606) 365-9181
- **Mailing address fax:** (606) 365-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17220 | KY | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 06/21/2018