Organization
LIBERTY FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KASPER (MANAGER)
(646) 450-6051
Entity
Organization
Contact information
Practice address
2003 OLD MAIN ST, MAYSVILLE, KY 41056-8928
(646) 450-6051
Mailing address
456A CENTRAL AVE STE 115, CEDARHURST, NY 11516-1907
(646) 450-6051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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