# VALENCIA FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1477781904
- **Authorized official:** MS. KRISTI M. PARTIN (C.E.O.)
- **Authorized official phone:** (606) 545-4866

## Contact information

- **Practice address:** 3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
- **Practice address phone:** (606) 248-7920
- **Practice address fax:** (606) 248-7947
- **Mailing address:** 3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
- **Mailing address phone:** (606) 248-7920
- **Mailing address fax:** (606) 248-7947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 06/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64192693 | — | KY |