Organization
COMMUNITY FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAUFIK KASSIS MD (PRESIDENT)
(606) 768-9190
Entity
Organization
Contact information
Practice address
784 HWY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Mailing address
784 HWY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36974
KY
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
700182
KY
261QR1300X
Rural Health Clinic/Center
Primary
900200
KY
363L00000X
Nurse Practitioner
36974
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11493417
CAQH
KY
01
—
183949
RURAL HEALTH MEDICARE
KY
05
—
35002021
—
KY
05
—
64055361
—
KY
05
—
65945198
—
KY
05
—
7100000960
—
KY
05
—
7100010230
—
KY
05
—
7100010420
—
KY
Enumeration date
07/10/2006
Last updated
07/20/2023
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