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Organization
FAMILY CARE OF NORTHERN KENTUCKY, PLLC
Active
Organization
FAMILY CARE OF NORTHERN KENTUCKY, PLLC
Active
Other names
Premier Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P WECKENBROCK MD (PARTNER)
(859) 341-5757
Entity
Organization
Contact information
Practice address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757
Mailing address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622871
—
OH
05
—
65944027
—
KY
Enumeration date
07/09/2006
Last updated
09/21/2007
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