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Organization

FAMILY CARE OF NORTHERN KENTUCKY, PLLC

Active
Other names
Premier Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
WECKENBROCK P GREGORY MD (PARTNER)
(859) 341-5757
Entity
Organization

Contact information

Practice address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757
Mailing address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100001950
KY
Enumeration date
05/09/2007
Last updated
10/05/2007
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