# SE KENTUCKY FAMILY PRACTICE CLINICS INC

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

## Provider details

- **NPI number:** 1861576365
- **Authorized official:** PRISCILLA PARTIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (606) 528-0283

## Contact information

- **Practice address:** 206 S MAIN ST, CORBIN, KY 40701-1456
- **Practice address phone:** (606) 528-0283
- **Practice address fax:** (606) 528-8422
- **Mailing address:** PO BOX 1125, CORBIN, KY 40702-1125
- **Mailing address phone:** (606) 528-0283
- **Mailing address fax:** (606) 528-8422

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020