# FAMILY MEDICINE CENTER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1679678619
- **Authorized official:** JACKIE R KAZEE MD (PHYSICIAN PARTNER)
- **Authorized official phone:** (606) 836-3196

## Contact information

- **Practice address:** 1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
- **Practice address phone:** (606) 836-3196
- **Practice address fax:** (606) 836-2564
- **Mailing address:** 1101 SAINT CHRISTOPHER DR, SUITE 250, ASHLAND, KY 41101-7087
- **Mailing address phone:** (606) 836-3196
- **Mailing address fax:** (606) 836-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 12/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100149760 | — | KY |