Organization
FAMILY HEALTH CARE CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY STEPHENS APRN (OWNER)
(859) 626-9696
Entity
Organization
Contact information
Practice address
312 JASON DR, SUITE 9, RICHMOND, KY 40475-2785
(859) 626-9696
Mailing address
PO BOX 35, RICHMOND, KY 40476-0035
(859) 626-9696
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900186
KY
363LF0000X
Family Nurse Practitioner
3002572
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001890
—
KY
Enumeration date
06/12/2007
Last updated
07/16/2014
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