# PAINT LICK FAMILY CLINIC INC

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

## Provider details

- **NPI number:** 1558496570
- **Authorized official:** JOHN STROTHER BELANGER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (859) 925-2444

## Contact information

- **Practice address:** 11652 HWY 52 RICHMOND ROAD, PAINT LICK, KY 40461-0065
- **Practice address phone:** (859) 925-2444
- **Practice address fax:** (859) 925-2334
- **Mailing address:** 11652 HWY 52 RICHMOND ROAD, PAINT LICK, KY 40461-0065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26657 | KY | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020
