Organization
FAMILY CARE OF NORTHERN KENTUCKY, PLLC
Active
Other names
Premier Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P WECKENBROCK MD (PARTNER)
(859) 341-5757
Entity
Organization
Contact information
Practice address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757
Mailing address
830 THOMAS MORE PKWY, STE 203, EDGEWOOD, KY 41017-5102
(859) 341-5757
(859) 331-4757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622871
—
OH
05
—
65944027
—
KY
Enumeration date
07/09/2006
Last updated
09/21/2007
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