Organization
FAMILY PRACTICE OF LOUISA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY KLEIN MD (SOLE MEMBER)
(606) 638-0033
Entity
Organization
Contact information
Practice address
40 MEDICAL HTS, LOUISA, KY 41230-9603
(606) 638-0033
Mailing address
PO BOX 730, LOUISA, KY 41230-0730
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31770
KY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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