Organization
FAMILY HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEDRA D. KRETZER (PRESICENT, CEO)
(606) 789-2424
Entity
Organization
Contact information
Practice address
824 FM STAFFORD AVE, PAINTSVILLE, KY 41240-1252
(606) 789-2424
(606) 789-2492
Mailing address
824 FM STAFFORD AVE, PAINTSVILLE, KY 41240-1252
(606) 789-2424
(606) 789-2492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
700135
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940199
—
KY
01
—
700135
PRIMARY CARE CENTER LICEN
KY
Enumeration date
06/03/2006
Last updated
08/22/2020
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