Organization
FAMILY CARE CENTER SOUTH HARDIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF D KINGERY (DIRECTOR)
(270) 706-1046
Entity
Organization
Contact information
Practice address
11969 S DIXIE HWY, SONORA, KY 42776-9739
(270) 706-1023
(270) 369-9263
Mailing address
PO BOX 2309, ELIZABETHTOWN, KY 42702-2309
(270) 706-1023
(270) 706-1167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934101
—
KY
Enumeration date
05/10/2006
Last updated
03/11/2010
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