# FAMILY CARE OF NORTHERN KENTUCKY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952334054
- **Authorized official:** DR. GREGORY P WECKENBROCK MD (PARTNER)
- **Authorized official phone:** (859) 341-5757

## Contact information

- **Practice address:** 830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
- **Practice address phone:** (859) 341-5757
- **Practice address fax:** (859) 331-4757
- **Mailing address:** 830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
- **Mailing address phone:** (859) 341-5757
- **Mailing address fax:** (859) 331-4757

## 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:** 07/09/2006
- **Last updated:** 09/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2622871 | — | OH |
| 05 | — | 65944027 | — | KY |