Organization
KENTUCKY FAMILY CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY T REYNOLDS MD (OWNER)
(606) 679-9213
Entity
Organization
Contact information
Practice address
298 BOGLE ST, STE B, SOMERSET, KY 42503-2836
(606) 679-9213
(606) 677-9963
Mailing address
298 BOGLE ST, STE B, SOMERSET, KY 42503
(606) 679-9213
(606) 677-9963
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931008
—
KY
Enumeration date
02/28/2006
Last updated
06/02/2008
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