Organization
FAMILY CARE ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WHALEN (PRACTICE MANAGER)
(859) 234-6000
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36E, 2C, CYNTHIANA, KY 41031
(859) 234-6000
(859) 234-6011
Mailing address
1210 KY HIGHWAY 36E, 2C, CYNTHIANA, KY 41031
(859) 234-6000
(859) 234-6011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928608
—
KY
Enumeration date
10/04/2006
Last updated
01/04/2011
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