Organization
STANFORD FAMILY MEDICINE & OBSTETRICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAREN JAMES M.D. (OWNER)
(606) 365-8338
Entity
Organization
Contact information
Practice address
19 ABES PLAZA, OLD HUSTONVILLE RD, LIBERTY, KY 42539
(606) 787-0014
Mailing address
107 METKER TRL STE A, P.O. BOX 388, STANFORD, KY 40484-1049
(606) 365-8338
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
30199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65907727
—
KY
01
—
CB 2572
RR MEDICARE GROUP
KY
01
—
DE0433
RAILROAD MEDICARE
KY
01
—
RR MEDICARE PIN
P00118851
KY
Enumeration date
02/08/2007
Last updated
11/09/2007
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