# PATIENT CENTERED CARE OF KENTUCKY LLC

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

## Provider details

- **NPI number:** 1720520703
- **Authorized official:** DR. FAIZ UDDIN M.D. (DOCTOR)
- **Authorized official phone:** (859) 559-1827

## Contact information

- **Practice address:** 800 W LINCOLN TRAIL BLVD STE 102, RADCLIFF, KY 40160-2671
- **Practice address phone:** (270) 351-3515
- **Mailing address:** 175 MARY LEE ST, ELIZABETHTOWN, KY 42701-4481
- **Mailing address phone:** (859) 559-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38224 | KY | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 12/01/2016