Organization
KENTUCKY FAMILY CLINIC INC
Active
Organization
KENTUCKY FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX CARRILLO MD (PRESIDENT/OWNER)
(787) 242-4412
Entity
Organization
Contact information
Practice address
5601 S 3RD ST, LOUISVILLE, KY 40214-2615
(502) 653-7247
(502) 653-7463
Mailing address
5601 S 3RD ST, LOUISVILLE, KY 40214-2615
(502) 653-7247
(502) 653-7463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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