Organization
FAMILY CARE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERYL L PITTMAN APRN (OWNER)
(859) 893-3588
Entity
Organization
Contact information
Practice address
3190 IRVINE RD, RICHMOND, KY 40475-9031
(859) 369-0070
(859) 369-0073
Mailing address
4864 BUD LN, LEXINGTON, KY 40514-1416
(859) 893-3588
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
05/05/2017
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