Organization
CENTRAL KENTUCKY FAMILY VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER LEIGH OD (PRESIDENT/AUTHORIZED OFFICIAL)
(606) 282-8901
Entity
Organization
Contact information
Practice address
502 E MAIN ST, STANFORD, KY 40484-1343
(859) 279-1994
Mailing address
502 E MAIN ST, STANFORD, KY 40484-1343
(859) 279-1994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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