Organization
FAMILY CARE PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Other names
FAMILY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JERYL LYNN PITTMAN APRN (MEMBER/OWNER)
(859) 893-3588
Entity
Organization
Contact information
Practice address
3190 IRVINE RD., RICHMOND, KY 40475-4047
(859) 369-0070
(859) 369-0073
Mailing address
4864 BUD LN, LEXINGTON, KY 40514-1416
(859) 358-8533
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
KY
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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