Organization
MONTGOMERY FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAUFIK KASSIS MD (MD/OWNER)
(859) 520-9292
Entity
Organization
Contact information
Practice address
125 FOXGLOVE DR STE B, MOUNT STERLING, KY 40353-9735
(859) 432-5641
Mailing address
125 FOXGLOVE DR STE B, MOUNT STERLING, KY 40353-9735
(859) 520-9292
(859) 520-9004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/25/2021
Last updated
06/29/2021
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