# FAMILYFIRST MEDICINE, LLC

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

## Provider details

- **NPI number:** 1801602214
- **Authorized official:** GABRIEL JACOB HENDERSON (OWNER)
- **Authorized official phone:** (502) 514-6040

## Contact information

- **Practice address:** 933 29TH ST, ASHLAND, KY 41101-3021
- **Practice address phone:** (606) 205-8768
- **Mailing address:** 933 29TH ST, ASHLAND, KY 41101-3021
- **Mailing address phone:** (606) 393-1115
- **Mailing address fax:** (606) 393-1107

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 04/08/2025
