Organization
COMMUNITY FAMILY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAUFIK KASSIS MD (OWNER)
(606) 768-9190
Entity
Organization
Contact information
Practice address
17 MILLER DRIVE, OWINGSVILLE, KY 40360-2212
(606) 674-3033
Mailing address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100263730
—
KY
Enumeration date
05/01/2013
Last updated
07/20/2023
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