Organization
EAST SIDE FAMILY MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN COURTNEY HADDIX M.D (PRESIDENT)
(502) 695-3946
Entity
Organization
Contact information
Practice address
601 VERSAILLES RD, FRANKFORT, KY 40601-3857
(502) 695-3946
(502) 695-3847
Mailing address
601 VERSAILLES RD, FRANKFORT, KY 40601-3857
(502) 695-3946
(502) 695-3847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
12/09/2011
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