# BULLITT COUNTY FAMILY CARE CENTER, P.L.L.C.

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

## Provider details

- **NPI number:** 1972568376
- **Authorized official:** DR. CHARLOTTE INGWERSEN M.D. (PRESIDENT)
- **Authorized official phone:** (502) 955-5200

## Contact information

- **Practice address:** 1578 HIGHWAY 44 E, SUITE 2, SHEPHERDSVILLE, KY 40165-7172
- **Practice address phone:** (502) 955-5200
- **Practice address fax:** (502) 526-5581
- **Mailing address:** PO BOX 1169, SHEPHERDSVILLE, KY 40165-1169
- **Mailing address phone:** (502) 955-5200
- **Mailing address fax:** (502) 526-5581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 32033 | KY | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 08/22/2020