Organization
VALENCIA FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI M. PARTIN (C.E.O.)
(606) 545-4866
Entity
Organization
Contact information
Practice address
3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
(606) 248-7920
(606) 248-7947
Mailing address
3503 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2611
(606) 248-7920
(606) 248-7947
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64192693
—
KY
Enumeration date
06/23/2009
Last updated
06/23/2009
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